Lisa Renee Waterman, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E-18839 Issued in AR

Practice address

5501 Willow Creek Dr Ste 203
Springdale, AR 72762-8708

Phone

(479) 757-5552

Fax

(479) 757-2942

NPI assigned

May 31, 2005

Reactivated

Mar 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Obstetrics/Gynecology

Education

Oklahoma State University College of Osteopathic Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.waterman.1@2229.direct.athenahealth.com

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.

• Northwest Physicians LLC

  • Obstetrics Physician
  • Springdale, AR
  • NPI 1194768721
  Medicare reassignment Care Compare group NPD
• Northwest Physicians LLC

  • Durable Medical Equipment & Medical Supplies
  • Springdale, AR
  • NPI 1205137536
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Norman Regional Hospital Authority

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  NPD (past)

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

• Northwest Arkansas Hospitals, LLC

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1467455808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR STE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628708",
            "telephone_number": "405-413-4351",
            "fax_number": "479-757-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR STE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628708",
            "telephone_number": "479-757-5552",
            "fax_number": "479-757-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-18839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Regional Medical System
• Washington Regional Medical System
• Washington Regional Medical System
• Washington Regional Medical System
• Washington Regional Medicorp, Inc.
• Watermark Chiropractic
• Waterstone Counseling Center PLLC
• Carly Watkins, COTA/L
• Laura Watkins
• Amy Michelle Watson, MHPP

• Obstetrics & Gynecology Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.