JOHN KEENE WATERS (NPI# 1710205208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710205208 |
| Entity Type | Individual |
| Full Name | JOHN KEENE WATERS |
| Credential | MD |
| Practice Address |
4708 Alliance Blvd Ste 540 Plano TX 75093-5339 |
| Mailing Address |
4064 Stanford Ave Dallas TX 75225-7005 |
| Practice Telephone | 4698006200 |
| Practice Fax Number | 4698006210 |
| Mailing Telephone | 2144707928 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Q8182 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966889 | John Francis Waters | In Home Supportive Care | 2153 Niagara Dr, Lakewood, OH 44107-5434 | 2020-09-11 |
| 1932410115 | John Michael Waters | Dentist | 512 Reed Rd, Anderson, SC 29621-2058 | 2010-06-23 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1992876619 | John Stuart Waters | Dentist | 420 E Church St, Sandwich, IL 60548-2206 | 2006-11-13 |
| 1861017196 | John S Waters | Social Worker | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-06-12 |
| 1639676208 | John Mitchell Waters | Counselor | 7209 Hamilton Acres Cir, Chattanooga, TN 37421-8623 | 2018-04-10 |
| 1396874939 | John M Waters | Social Worker | 327 1st Ave Nw, Hickory, NC 28601-6122 | 2007-03-02 |
| 1124120803 | John Waters | Psychiatry & Neurology | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-09-02 |
| 1245340041 | John Roland Waters | Pharmacist | 10 N Beachview Dr, Jekyll Island, GA 31527-0816 | 2006-08-30 |
| 1114985074 | John Thomas Waters Jr. | Physical Therapist | 2804 Audubon Village Dr, Norristown, PA 19403-2262 | 2006-05-02 |
| Street Address |
4708 ALLIANCE BLVD STE 540 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124082904 | John Michael Dimaio | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd Ste 540, Plano, TX 75093 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518162650 | Kelley A Hutcheson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavilion II, Suite 310, Plano, TX 75093-1010 | 2007-06-19 |
| 1124082904 | John Michael Dimaio | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd Ste 540, Plano, TX 75093 | 2006-04-17 |
| 1063400661 | Amadeo S. Quintans | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd Ste 1, Suite 700, Plano, TX 75093-5337 | 2005-10-10 |
| 1225026776 | Michal Savcenko | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6149 Windhaven Pkwy Ste 130, Plano, TX 75093-8298 | 2005-10-10 |
| 1447655857 | Christian L Moncrief Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd, Suite 770, Plano, TX 75093-5340 | 2014-10-28 |
| 1912148412 | Cardio Vascular Surgeons of North Texas, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 W 15th St, Ste 208, Plano, TX 75075-7751 | 2009-03-12 |
| 1144475229 | Justin Michael Schaffer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavilion II, Suite 310, Plano, TX 75093-5371 | 2008-11-17 |
| 1891963328 | Dallas Cardiovascular Surgical Association | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6200 W Parker Rd, Suite 103, Plano, TX 75093-7939 | 2008-02-19 |
| 1205019874 | Richard Bowman Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4001 W 15th St Ste 335, Plano, TX 75093-5859 | 2007-12-06 |
| 1538349360 | Katherine Brooks Harrington | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavillion II, Suite 310, Plano, TX 75093-5371 | 2007-11-09 |
| Find all providers in PLANO | ||||
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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.