Waterview Medical Centre

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WATERVIEW MEDICAL CENTRE

Practice address

2625 SW 119TH St
Suite a
Oklahoma City, OK 73170-2654

Phone

(405) 692-4777

Fax

(405) 692-4778

NPI assigned

May 8, 2006

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greg L Terrell

Title

Sr VP, Coo

Phone

(405) 307-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Norman Regional Hospital Authority

  dba Norman Regional HME

  • Durable Medical Equipment & Medical Supplies
  • Norman, OK
  • NPI 1619385564

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1144279068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-692-4777",
            "fax_number": "405-692-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 SW 119TH ST",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731702654",
            "telephone_number": "405-692-4777",
            "fax_number": "405-692-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVIEW MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR VP, COO",
        "authorized_official_telephone_number": "405-307-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700690N",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana G Waters, PH. D.
• Liberty Waters
• Natalie Nicole Waters
• Philo Wayne Waters IV
• Suzanne Alain Waters
• Austin Kyle Watkins
• Brianna Watkins, NP
• Gregory Lynn Watkins, D.D.S.
• Harold Douglas Watkins Jr.
• Lisa Watkins

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.