Organization Active NPI

Cleve Waters MD LLC

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1245459866
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000011727 Issued in TN
Legal business name
CLEVE WATERS MD LLC
Practice address
1755 Gunbarrel Rd
Suite 200
Chattanooga, TN 37421-7137
Phone
(423) 855-4044
Fax
(423) 855-4105
NPI assigned
Apr 24, 2007
Last updated
Sep 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Cleve Waters, MD
Title
President
Phone
(423) 855-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0000011727 TN Primary

Addresses

Primary practice location

1755 Gunbarrel Rd
Suite 200
Chattanooga, TN 37421-7137

Mailing address

1755 Gunbarrel Rd
Suite 200
Chattanooga, TN 37421-7137
Phone (423) 855-4044

National Provider Directory

National Provider Directory

Locations

1755 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 756-7133

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1245459866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-855-4044",
            "fax_number": "423-855-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-855-4044",
            "fax_number": "423-855-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVE WATERS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "CLEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-855-4044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000011727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.