DR. TIMOTHY WATERS (NPI# 1083813885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083813885 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY WATERS |
| Credential | DO |
| Practice Address |
600 Northern Blvd Albany NY 12204-1004 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184713221 |
| Mailing Telephone | 5185255634 |
| Mailing Fax Number | 5186494094 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2008035677 | MO | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 279994 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 S Manning Blvd, Albany, NY 122081707 | 5185251550 | |
| Bldg 301 Andrews Ave, Fort Rucker, AL 363620001 | 9154902307 | 9154902307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437696994 | Timothy David Waters | Counselor | 66 S 360 E, American Fork, UT 84003-2590 | 2017-01-23 |
| 1154705051 | Timothy Lee Waters Jr. | Nurse Practitioner | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2015-07-10 |
| 1952397465 | Timothy Waters | Physical Therapist | 1441 Kapiolani Blvd, Suite 1113, Honolulu, HI 96814-4402 | 2005-09-21 |
| Street Address |
600 NORTHERN BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12204-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717038 | Brooke Anna Coticchio | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-08-28 |
| 1528628187 | Joni Ann Goldberg | Speech-Language Pathologist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-06-17 |
| 1326506122 | Alexis Erin Michele Lane | Nurse Practitioner | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-03-11 |
| 1093288300 | Giuseppe Ragonese | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-01-09 |
| 1225500416 | Misty Ash Jones | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1235601428 | Deborah D'amico | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1679089973 | Jessica Elizabeth Breda | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-12-21 |
| 1568985521 | Jordyn Diane Thiem | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-21 |
| 1144743436 | Lisa Marie Slade | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-19 |
| 1659891208 | Laura Segal | Physical Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1083977417 | Katrina G Hoffman | Hospitalist | 4600 Evergreen Pl Se, Albany, OR 97322-6182 | 2012-06-20 |
| 1487914891 | Shyam Amin | Hospitalist | 315 South Manning Blvd, 7 Cusack, Albany, NY 12208 | 2012-05-18 |
| 1821231432 | Chinyelu Ofodile | Hospitalist | 425 W. Third Avenue, Suite 500, Albany, GA 31701 | 2009-04-13 |
| 1851560965 | Dung D Pham | Hospitalist | 38 Seminole Ave, Basement, Albany, NY 12203 | 2008-02-22 |
| 1497306526 | Heather Marie Murphy | Hospitalist | 315 S Manning Blvd, Albany, NY 12208-1789 | 2019-09-20 |
| 1902459761 | Amy Lynne Zuccaro | Hospitalist | 315 S Manning Blvd, Albany, NY 12208-1707 | 2019-07-22 |
| 1881116895 | Nazia Rais Alam Khan | Hospitalist | 315 S Manning Blvd, Albany, NY 12208 | 2017-07-11 |
| 1205368594 | Cristina Calderon | Hospitalist | 47 New Scotland Ave, Dept. of Family Medicine, Albany, NY 12208-3412 | 2017-03-28 |
| 1619330396 | Ashok A Ramani | Hospitalist | 315 So Manning Blvd, St. Peter's Hospital Department, Albany, NY 12208 | 2016-03-31 |
| Find all providers in ALBANY | ||||
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| 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.