Stanley J Waters

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

N-36730 Issued in ID

Legal business name

STANLEY J WATERS

Practice address

1795 S Sub Station Rd
Emmett, ID 83617-9431

Phone

(208) 870-2689

NPI assigned

Sep 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kathy Ann Buckley, RN

Title

Rnfa

Phone

(208) 870-2689

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley J Waters, M.D., PH.D.

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1821046335
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1023367828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 S SUB STATION RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179431",
            "telephone_number": "208-870-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 S SUB STATION RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179431",
            "telephone_number": "208-870-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J WATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RNFA",
        "authorized_official_telephone_number": "208-870-2689",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "N-36730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kay Smith, LCSW
• Raina Soteros
• Rachael Spear, LAMFT
• Jill Janay Sprague, MA, LCPC
• Klint Howard Stander, MD
• Stephanie Ann Sternes, LCPC, LAMFT, NCC
• Bryan Stone, M.D.
• Diane E Strauchon, CPHT
• Robin Stroing, PTA
• Summit Youth Academy, Inc

• General Acute Care Hospital in Emmett, ID
• Providers in Emmett, ID by specialty
• General Acute Care Hospital in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.