Dorothy Shannon Waters-Hwang, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

33210 Issued in KY

Practice address

2350 Schillinger Road S
Mobile, AL 36695

Phone

(251) 445-7614

Fax

(251) 410-6127

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dorothy Shannon Waters Other name

Medicare fee-for-service enrollment

Enrolled in AL, KY2 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 2

Specialty

Emergency Medicine

Education

University of Alabama School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians

Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Merit-based Incentive Payment System (MIPS)

Final score

85.77 of 100Reported as group

Quality

68.25

Promoting interoperability

100

Improvement activities

40

Cost

72.39

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwatershwang152980@ukhcdirect.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• South Alabama Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Grand Bay, AL
  • NPI 1811288038

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Gmuc of Saraland

  • Family Medicine Physician
  • Saraland, AL
  • NPI 1396161758
  Medicare reassignment Care Compare group NPD
• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801063938
  Medicare reassignment Care Compare group NPD
• Kentucky Medical Services Foundation, Inc

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1326091448

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Gmuc of Citronelle LLC

  • Family Medicine Physician
  • Citronelle, AL
  • NPI 1164794343
  Medicare reassignment NPD
• Gmuc of Springhill LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1952617508
  Medicare reassignment NPD
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974

  Internal Medicine

  Medicare reassignment NPD
• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Semmes, AL
  • NPI 1275848095
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Kentucky

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1518911338
  Care Compare affiliation

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1457333650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SCHILLINGER ROAD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-445-7614",
            "fax_number": "251-410-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SCHILLINGER ROAD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-445-7614",
            "fax_number": "251-410-6127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-5901",
            "fax_number": "859-323-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS-HWANG",
        "first_name": "DOROTHY",
        "middle_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "26064",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-13371",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "33210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51523731",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "WATERS",
            "middle_name": "SHANNON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Washichek, P.T.
• Courtney Washington, RN
• Regenia L. Washington, CCM
• Charity Hope Washko
• Mary Kate Wasilenko, R.N.
• Darren Keith Waters, M.D.
• Farrah Waters, PMHNP-BC
• Katherine Ann Watkins, RN
• Kayla Renee Watkins
• Sharhonda Monique Watkins, PHARMD

• Emergency Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.