MR. JOHNATHAN SEAMUS WATERS (NPI# 1043588833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043588833 |
| Entity Type | Individual |
| Full Name | MR. JOHNATHAN SEAMUS WATERS |
| Credential | RT (R) CT |
| Practice Address |
2223 Daniel Road Pueblo CO 81006 |
| Mailing Address |
P.o. Box 432 Seligman AZ 86337 |
| Practice Telephone | 3608502739 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
RT60090679 | WA | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
CRT-12657 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
RHF64081 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2223 DANIEL ROAD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1528593167 | Melissa Dasher | Dental Hygienist | 1292 Zinno Blvd, Pueblo, CO 81006 | 2017-04-20 |
| 1992858344 | El Pueblo Boys' and Girls' Ranch, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1 El Pueblo Ranch Way, Pueblo, CO 81006 | 2007-01-19 |
| 1740347996 | Jose Luis Ramirez | Physician Assistant | 45825 Highway 96 East, Pueblo, CO 81006 | 2007-01-03 |
| 1730514019 | Tammy Kay Salmon | Social Worker | 1 El Pueblo Ranch Way, Pueblo, CO 81006 | 2013-09-05 |
| 1518062074 | American Medical Response of Colorado Inc | Ambulance | 922 S Santa Fe Ave, Pueblo, CO 81006-1125 | 2006-09-13 |
| 1255654935 | B-4 Day Program and Residential Services Inc. | Day Training, Developmentally Disabled Services | 110 Santa Fe Dr, Pueblo, CO 81006-1174 | 2010-03-09 |
| 1467083022 | Stephanie Ortega | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-01-31 |
| 1053918623 | Health Solutions | Clinic/Center | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-10-06 |
| 1487251278 | Health Solutions | Clinic/Center | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-10-05 |
| Find all providers in zip 81006 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902367014 | Robert Michael Klein IIi | Radiologic Technologist | 212 E Tomichi Ave, Gunnison, CO 81230-2327 | 2019-03-29 |
| 1366823916 | Cheri Adams | Radiologic Technologist | 5240 La Costa Dr, Elizabeth, CO 80107-9107 | 2015-06-09 |
| 1396965786 | Mark Edward Kiehn | Radiologic Technologist | 18930 E Warren Cir Unit 303, Aurora, CO 80013-5986 | 2007-04-26 |
| 1639215833 | Parkside Ct Group, LLC | Radiologic Technologist | 215 Parkside Dr Ste 100, Colorado Springs, CO 80910-3136 | 2007-01-29 |
| 1154860112 | Rita A Melland | Radiologic Technologist | 1625 Medical Center Pt, Suite 190, Colorado Springs, CO 80907-8731 | 2017-02-22 |
Please comment or provide details below to improve the information on MR. JOHNATHAN SEAMUS WATERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.