DR. DIEDRICH COLLINS WATERMAN (NPI# 1598023376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598023376 |
| Entity Type | Individual |
| Full Name | DR. DIEDRICH COLLINS WATERMAN |
| Credential | MD |
| Practice Address |
116 Baskervill Dr Pawleys Island SC 29585-6185 |
| Practice Telephone | 8432372672 |
| Practice Fax Number | 8432370369 |
| Mailing Telephone | 8432372672 |
| Mailing Fax Number | 8432370369 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD34481 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
116 BASKERVILL DR |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-6185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346788825 | John Paul Konsek | Internal Medicine | 116 Baskervill Dr, Pawleys Island, SC 29585-6185 | 2017-02-06 |
| 1043684632 | Smith Medical Clinic | Clinic/Center | 116 Baskervill Dr, Pawleys Island, SC 29585-6185 | 2015-11-19 |
| 1831392687 | Karyn Jansen Gallagher | Nurse Practitioner | 116 Baskervill Dr, Pawleys Island, SC 29585-6185 | 2007-06-08 |
| 1497899314 | Robert H. Fabrey II | Family Medicine | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2007-02-16 |
| 1568506483 | R. Maxie Mccoy | Urology | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2007-02-16 |
| 1992850333 | Mary Kathryn O'neill | Nurse Practitioner | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2007-01-24 |
| 1952419301 | Katherine Close | Internal Medicine | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| 1437267879 | Rex Quigley | Anesthesiology | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| 1285742635 | John W. Kramer | Surgery | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| 1073621439 | James P. Hentz | Surgery | 116 Baskervill Dr, Pawleys Island, SC 29585-6013 | 2006-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1437566510 | Tides Gastroenterology, LLC | Internal Medicine | 159 E Shipyard Rd, Mt Pleasant, SC 29464-2677 | 2014-07-21 |
| 1912326893 | Gastroenterology Consultants of Savannah, PC | Internal Medicine | 10 Oak Forest Rd Ste B, Bluffton, SC 29910-4974 | 2014-04-08 |
| 1457616401 | Christopher Robert Brown | Internal Medicine | 4040 Highway 17 Unit 302, Murrells Inlet, SC 29576 | 2012-07-05 |
| 1326304478 | Madeline Rhea Russell | Internal Medicine | 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 | 2012-04-03 |
| 1083909402 | Andrew Jonathan Motlis | Internal Medicine | 853 N Church St Ste 620, Spartanburg, SC 29303-3070 | 2011-06-14 |
| 1518250414 | Georgia Gastroenterology,llc. | Internal Medicine | 35 Varden Dr, Suite C, Aiken, SC 29803 | 2011-05-25 |
| 1811296239 | South Coast Gastroenterology | Internal Medicine | 2891 Tricom St Ste B, N Charleston, SC 29406-7110 | 2011-03-24 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
| Find all providers with the same taxonomy | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
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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.