MR. MARK ANDREW WATERMAN (NPI# 1144553132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144553132 |
| Entity Type | Individual |
| Full Name | MR. MARK ANDREW WATERMAN |
| Credential | CRNA |
| Practice Address |
1200 E Pecan St Altus OK 73521-6141 |
| Practice Telephone | 5803795860 |
| Mailing Telephone | 5803795860 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 96660 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773216 | Mark B. Waterman | Emergency Medicine | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2006-06-03 |
| Street Address |
1200 E PECAN ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569844 | Holly Register | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2005-06-22 |
| 1912514191 | Blair Durae Testerman | Speech-Language Pathologist | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-09-30 |
| 1023625050 | Shelby Daniel | Occupational Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-09-24 |
| 1376154666 | Susan Elizabeth Spirlock | Physical Therapist | 1200 E Pecan St, Altus, OK 73521-6141 | 2020-08-11 |
| 1962033837 | Kristina Nicole Calonge | Occupational Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6141 | 2020-01-30 |
| 1265063234 | Taylor Danielle Stubbs | Physical Therapy Assistant | 1200 E Pecan St, Altus, OK 73521-6192 | 2020-01-29 |
| 1568021475 | Brianna L Jackson | Occupational Therapist | 1200 E Pecan St, Altus, OK 73521-6192 | 2019-06-13 |
| 1295229623 | Amanda Jean Werneke | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521 | 2018-06-19 |
| 1275036691 | Jamie Koeritz | Physical Therapist | 1200 E Pecan St, Altus, OK 73521-6141 | 2018-03-12 |
| 1710486733 | Corrie Suzanne Driggers Gossett | Registered Nurse | 1200 E Pecan St, Altus, OK 73521-6141 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569844 | Holly Register | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2005-06-22 |
| 1295229623 | Amanda Jean Werneke | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521 | 2018-06-19 |
| 1740797695 | Dalton Blake Thames | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2018-01-01 |
| 1457681173 | Brian Lyle Knight | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2009-12-31 |
| 1851626725 | Nicole Marie Nelson | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2009-10-12 |
| 1033395504 | Jessica Lanae Poe | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2008-01-15 |
| 1942490131 | Victoria W Hays | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2007-07-25 |
| 1003957945 | Michael Orlan Lockhart Jr. | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2007-02-12 |
| 1326035288 | Mark Vincent Vadney | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2005-10-05 |
| 1033116181 | Frances Kay Christopher | Nurse Anesthetist, Certified Registered | 1200 E Pecan St, Altus, OK 73521-6141 | 2005-07-05 |
| Find all providers in ALTUS | ||||
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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.