Scott A Waters (NPI# 1235233867, PAC ID# 6507778966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235233867 |
| PAC ID by PECOS | 6507778966 |
| Professional Enrollment ID | I20031104000224 |
| Full Name | Scott A Waters |
| Organization Legal Name | COMMUNITY MEMORIAL HOSPITAL |
| Address |
18218 State Rd Suite 37 Harlan IN 46743-9609 |
| Phone Number | 2606576159 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547258907 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361301 | COMMUNITY MEMORIAL HOSPITAL |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150045 | DEKALB HEALTH |
| 150047 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 18218 State Rd, Suite 37, Harlan, IN 46743-9609 | 2606576159 | COMMUNITY MEMORIAL HOSPITAL |
| 208 N Columbus, Hicksville, OH 43526-1250 | 4195426692 | COMMUNITY MEMORIAL HOSPITAL |
| Organization Legal Name | COMMUNITY MEMORIAL HOSPITAL |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April M Lamunion | Nurse Practitioner | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Christina Valencia | Nurse Practitioner | Community Memorial Hospital | 3460 S St, Morrisville, NY 13408-9671 |
| Megan E Ashbacher | Nurse Practitioner | Community Memorial Hospital | 422 W River St, Antwerp Family Health, Antwerp, OH 45813-8417 |
| Dennis Blom | General Surgery | Community Memorial Hospital | 164 Broad St, Hamilton, NY 13346-9575 |
| Michael Kooistra Jr. | Family Medicine | Community Memorial Hospital | 104 S W St, Edgerton, OH 43517-9697 |
| Rowland J Rivero | Hospitalist | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Bryan D Kaplansky | Physical Medicine and Rehabilitation | Community Memorial Hospital | 3888 New Vision Dr, Fort Wayne, IN 46845-1708 |
| Shelby Sharp | Nurse Practitioner | Community Memorial Hospital | 117 W Main St, Waterville, NY 13480-1165 |
| Jessica L Slattery | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Todd M Wiley | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Street Address |
18218 STATE RD SUITE 37 |
| City | HARLAN |
| State | IN |
| Zip | 46743-9609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan K Bleck | Family Medicine | Community Memorial Hospital | 18218 State Rd, Suite 37, Harlan, IN 46743-9609 |
| City | HARLAN |
| Zip Code | 46743 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HARLAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Scott A 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.