Eric T Waterman, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD00029408 Issued in WA

Practice address

12402 SE 38TH St Ste 201
Bellevue, WA 98006-1214

Phone

(425) 656-4200

Fax

(425) 656-4258

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR, NV3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Otolaryngology

Education

Albany Medical College of Union University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breathe Free Allergy and Sinus Centers of NevadaGroup PAC ID 4486140100, 2 clinicians

Modern Nose Clinic LLCGroup PAC ID 5597036897, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Modern Nose Clinic LLC

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1851825566

  WA

  Medicare reassignment Care Compare group NPD
• Breathe Free Allergy & Sinus Centers of Nevada

  • Otolaryngology Physician
  • Henderson, NV
  • NPI 1184509630
  Medicare reassignment Care Compare group
• Painless Clinic PLLC

  • Neurology Physician
  • Renton, WA
  • NPI 1477204295
  NPD (past)
• Modern Nose Clinic LLC

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1043874696
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1093872947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 SE 38TH ST STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061214",
            "telephone_number": "425-656-4200",
            "fax_number": "425-656-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 SE 38TH ST STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061214",
            "telephone_number": "425-656-4200",
            "fax_number": "425-656-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "ERIC",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00029408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Wassler, LMP
• Ellen Wastell
• Shawna Watanabe
• Watemark Bellevue, LLC
• Brittney Waterhouse
• Watermark Bellevue, LLC
• Watermark Pacific Regent, LLC
• Sarah Elizabeth Waters, LSWAIC
• Sephora Watkins
• Kurstin Watland

• Otolaryngology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.