Individual provider Active NPI

Mark Waters, MD

  • Emergency Medicine Physician
  • Upper St Clair, PA
National Provider Identifier
1104813096
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD045454L Issued in PA
Practice address
2600 Old Washington Rd
Upper St Clair, PA 15241-2524
Phone
(412) 854-3627
NPI assigned
Oct 5, 2005
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD045454L PA Primary

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

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001386 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 2163416256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD045454LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 1, 2010 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Urgent Care, PC - Pennsylvania Emergency Medicine 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

1535 Washington Rd
Pittsburgh, PA 15228
Phone (412) 367-3278

1984 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 343-3627

3433 William Penn Hwy
Pittsburgh, PA 15235
Phone (412) 825-3627

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
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

  • Direct secure messaging: mwaters20642@gohealthupmc.direct-ci.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1104813096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HICKORY HEIGHTS DR",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171077",
            "telephone_number": "412-319-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD WASHINGTON RD",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152412524",
            "telephone_number": "412-854-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152281621",
            "country_code": "US",
            "telephone_number": "412-367-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD045454L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper St Clair, PA

Sources for this page

Verify at the official NPI Registry.