ADAM T WATERMAN (NPI# 1457662967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457662967 |
| Entity Type | Individual |
| Full Name | ADAM T WATERMAN |
| Credential | D.O. |
| Practice Address |
3680 Nw Samaritan Dr Corvallis OR 97330-3737 |
| Mailing Address |
444 Nw Elks Dr Corvallis OR 97330-3745 |
| Practice Telephone | 5417541282 |
| Mailing Telephone | 5417541150 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO182303 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2012013499 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500731908 | 05 |
| Street Address |
3680 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508852252 | Patricia Shannon Hopson | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2005-09-27 |
| 1568007649 | Miriam Geneva Powell | Specialist/Technologist, Other | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-11-12 |
| 1043853948 | Elise Noel Bascom | Psychologist | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-23 |
| 1881252252 | Jennifer Marie Giles | Surgery | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-05-31 |
| 1316503774 | Naomi Elizabeth Shantz | Nurse Practitioner | 3680 Nw Samaritan Dr, Corvallis, OR 97330 | 2019-05-11 |
| 1134613110 | Maddison Marie Greaves | Dietitian, Registered | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2018-06-21 |
| 1831631522 | Joshua Bergh | Physician Assistant | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-11-10 |
| 1063961373 | Elisabeth Romatz Mahmud | Registered Nurse | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-09-27 |
| 1689127045 | Nicolette Rosendahl | Neuromusculoskeletal Medicine & OMM | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2016-08-02 |
| 1003271727 | Laura Luczkiw | Dietitian, Registered | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184094849 | Brian Lantos | Family Medicine | 1235 Nw 11th St, Corvallis, OR 97330-4616 | 2015-10-06 |
| 1437586765 | Erandhi Nirasha Hall | Family Medicine | 3620 Nw Samaritan Dr # 203a, Corvallis, OR 97330-4714 | 2013-10-01 |
| 1427323690 | Good Samaritan Hospital Corvallis | Family Medicine | 5234 Philomath Boulevard, Corvallis, OR 97333-1042 | 2012-03-20 |
| 1346514015 | Good Samaritan Hospital Corvallis | Family Medicine | 3517 Nw Samaritan Drive Suite 201, Corvallis, OR 97330-3769 | 2012-02-28 |
| 1932378486 | Good Samaritan Hospital Corvallis | Family Medicine | 990 Nw Circle Blvd Ste 101, Corvallis, OR 97330-1967 | 2008-02-28 |
| 1215117692 | Good Samaritan Hospital Corvallis | Family Medicine | 2555 Ne Belvue St, Corvallis, OR 97330 | 2007-11-14 |
| 1477612687 | Norman W Castillo | Family Medicine | 1763 Nw Kings Blvd, Corvallis, OR 97330-1905 | 2006-12-06 |
| 1124103445 | Ladonna Mae Johnson | Family Medicine | 201 Plageman Bldg, Oregon State University - Student Health, Corvallis, OR 97331-5801 | 2006-10-26 |
| 1396832127 | Marcus Daly Memorial Hospital Corporation | Family Medicine | 1037 Main Street, Corvallis, MT 59828-9374 | 2006-10-05 |
| 1093818684 | Gael Anne Wheeler | Family Medicine | 2743 Nw 9th St, Corvallis, OR 97330-3857 | 2006-09-07 |
| Find all providers in CORVALLIS | ||||
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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.