Mark Waters, MD
Individual provider Active NPI Emergency Medicine Physician · Upper St Clair, PA
NPI 1104813096 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1104813096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD045454L (PA)
- Practice address
- 2600 Old Washington Rd
Upper St Clair, PA 15241-2524 - Phone
- (412) 854-3627
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040412001386 | PA | Practitioner - Internal Medicine |
2163416256 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care, PC - Pennsylvania | Emergency Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | Current |
Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Current |
Accepting new patients | |
| Medexpress Urgent Care, PC - Monaca | Emergency Medicine | Past | Accepting new patients |
Locations
50 Freeport Rd
Ste 500
Aspinwall, PA 15215
Phone (412) 782-3278
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
5126 State Route 30
Ste 300
Greensburg, PA 15601
Phone (724) 836-3027
8702 University Blvd
Moon Twp, PA 15108
Phone (412) 299-3627
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
3433 William Penn Hwy
Pittsburgh, PA 15235
Phone (412) 825-3627
1984 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 343-3627
1535 Washington Rd
Pittsburgh, PA 15228
Phone (412) 367-3278
695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556
325 McClellandtown Rd
Uniontown, PA 15401
Phone (724) 439-3627
2600 Old Washington Rd
Ste 150
Upper St Clair, PA 15241
Phone (412) 854-3627
460 Washington Rd
Ste 7
Washington, PA 15301
Phone (724) 225-3627
Interoperability endpoints
- mwaters20642@gohealthupmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD045454L | PA | Yes |
Addresses
Primary practice location
2600 Old Washington Rd
Upper St Clair, PA 15241-2524
Mailing address
107 Hickory Heights Dr
Bridgeville, PA 15017-1077
Phone (412) 319-7688
Other practice location 1
1535 Washington Rd
Pittsburgh, PA 15228-1621
Phone (412) 367-3278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1280366 | Medicaid | PA |
Other providers in Upper St Clair, PA
- Jenna Trinh
- Jeffrey P Verner
- Ryan Charles Vietmeier
- Pamela Volz
- Kayllie Wang
- Britney Wehrle
- Christina M Welc
- William J Katsur, DMD
- Emily Sue Wockley
- Qinwei Veronica Zhang
All providers in Upper St Clair, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.