DR. JASON C WATTERS (NPI# 1497980189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497980189 |
| Entity Type | Individual |
| Full Name | DR. JASON C WATTERS |
| Credential | M.D. |
| Practice Address |
720 Eskenazi Ave. Indianapolis IN 46202-5166 |
| Mailing Address |
250 N. Shadeland Ave. Suite 130, Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3178803737 |
| Practice Fax Number | 3178800318 |
| Mailing Telephone | 3178806540 |
| Mailing Fax Number | 3178800318 |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2015-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 01073732A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201109280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316286339 | Jason Watters | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2013-02-12 |
| Street Address |
720 ESKENAZI AVE. |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936142 | Shelby Rene Bradford | Nurse Practitioner | 720 Eskenazi Ave., Fifth Third Bank Building, Second Floor, Indianapolis, IN 46202 | 2019-08-03 |
| 1871147314 | Deana Kirtley | Nurse Practitioner | 720 Eskenazi Ave., Indianapolis, IN 46202 | 2019-08-01 |
| 1003285768 | The Health and Hospital Corporation of Marion County | Eyewear Supplier (Equipment, not the service) | 720 Eskenazi Ave., C1-108, Indianapolis, IN 46202-5166 | 2015-09-23 |
| 1184981011 | Damaris Ortiz | Surgery | 720 Eskenazi Ave., Indianapolis, IN 46202-5166 | 2012-04-17 |
| 1750688206 | Jennifer Lee Adams | Nurse Practitioner | 720 Eskenazi Ave., Fifth Third Bank Bldg., 2nd Floor, Indianapolis, IN 46202-5166 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
| 1134546161 | Kevin A Sonn | Orthopaedic Surgery | 1801 Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2014-03-27 |
| 1528403078 | Hannah Abigail Dineen | Orthopaedic Surgery | 8501 Harcourt Rd Dept Of, Indianapolis, IN 46260 | 2013-05-09 |
| 1184883571 | David Michael Foulk | Orthopaedic Surgery | 8040 Clearvista Pkwy Ste 500, Indianapolis, IN 46256-5604 | 2008-06-02 |
| 1376701961 | Ripley Worman | Orthopaedic Surgery | 541 Clinical Dr Ste 600, Indianapolis, IN 46202-5233 | 2008-05-30 |
| 1437350634 | David M Doman | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2007-05-29 |
| 1588756845 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 1801 N Senate Blvd Ste 200, Indianapolis, IN 46202-1243 | 2006-09-28 |
| 1588699771 | Herbert Merrill Biel | Orthopaedic Surgery | 7930 N Shadeland Avenue, Indianapolis, IN 46250-2041 | 2006-07-12 |
| 1700810660 | Indiana Orthopaedic Center PC | Orthopaedic Surgery | 7930 N. Shadeland Ave., Indianapolis, IN 46250 | 2006-07-10 |
| 1609828664 | Thomas F Trainer | Orthopaedic Surgery | 10601 N Meridian St, #200, Indianapolis, IN 46290-1152 | 2006-05-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.