Individual provider Active NPI

Dana Harris Waters, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Drexel Hill, PA
National Provider Identifier
1063513588
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005782 Issued in PA
Practice address
648 Childs Ave
Drexel Hill, PA 19026-3805
Phone
(484) 521-0233
Fax
(484) 521-0235
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005782 PA Primary

Addresses

Primary practice location

648 Childs Ave
Drexel Hill, PA 19026-3805

Mailing address

648 Childs Ave
Drexel Hill, PA 19026-3805
Phone (484) 521-0233

Other names 1

  • Dr. Dana Denise Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422001232 PA Practitioner - Podiatry 0143327858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson Podiatry, LLCGroup PAC ID 3971858184, 3 clinicians

Practice addresses (Care Compare)

882 Millersville Rd
Lancaster, PA 17603-6154
Phone (717) 291-0391

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10
Removal of nail tissue1634
Removal or shaving of skin growth643
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005782PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Podiatry LLC Foot & Ankle Surgery CurrentSince Jun 1, 2015 Accepting new patients

Locations

648 Childs Ave
Drexel Hill, PA 19026
Phone (484) 380-9989

520 Maple Ave
Ste 1
West Chester, PA 19380
Phone (610) 436-1584

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1063513588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 CHILDS AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263805",
            "telephone_number": "484-521-0233",
            "fax_number": "484-521-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CHILDS AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263805",
            "telephone_number": "484-521-0233",
            "fax_number": "484-521-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "DANA",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "HARRIS",
            "middle_name": "DENISE",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.