Michael G Waters (NPI# 1417915547, PAC ID# 2860417508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1417915547 |
PAC ID by PECOS | 2860417508 |
Professional Enrollment ID | I20051011001022 |
Full Name | Michael G Waters |
Organization Legal Name | MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS |
Address |
324 T B Stanley Hwy Suite Bandc Bassett VA 24055-6108 |
Phone Number | 2766291076 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4385717552 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490075 | SOVAH HEALTH DANVILLE |
Address | Phone | Organization |
---|---|---|
324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 | 2766291076 | MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 87% | |
MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 83% |
Organization Legal Name | MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rhonda Clark | Nurse Practitioner | Martinsville Henry County Coalition for Health and Wellness | 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 |
Julia P Hodnett | Nurse Practitioner | Martinsville Henry County Coalition for Health and Wellness | 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 |
Kwamba Ekwa Nkembe | Family Medicine | Martinsville Henry County Coalition for Health and Wellness | 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 |
Street Address |
324 T B STANLEY HWY SUITE BANDC |
City | BASSETT |
State | VA |
Zip | 24055-6108 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rhonda Clark | Nurse Practitioner | Martinsville Henry County Coalition for Health and Wellness | 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 |
Julia P Hodnett | Nurse Practitioner | Martinsville Henry County Coalition for Health and Wellness | 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 |
Kwamba Ekwa Nkembe | Family Medicine | Martinsville Henry County Coalition for Health and Wellness | 324 T B Stanley Hwy, Suite Bandc, Bassett, VA 24055-6108 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronikka C Hannans | Nurse Practitioner | Martinsville Physician Practices LLC | 5784 Virginia Ave, Bassett, VA 24055-3879 |
Melissa H Smith | Nurse Practitioner | Martinsville Physician Practices LLC | 5784 Virginia Ave, Bassett, VA 24055-3879 |
City | BASSETT |
Zip Code | 24055 |
Specialty | FAMILY MEDICINE |
City + Specialty | BASSETT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael G Waters.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.