Active NPI
Natasha Amy Waterland
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1548759517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.250511
- Practice address
- 410 W. 10TH Avenue
Columbus, OH 43210 - Phone
- (614) 293-9869
- Fax
- (614) 293-7526
- NPI assigned
- May 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 57.250511 | OH | Primary |
Addresses
Primary practice location
410 W. 10TH Avenue
Columbus, OH 43210
Mailing address
410 W. 10TH Avenue
Columbus, OH 43210
Phone (614) 293-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724001791 | ID | Practitioner - Hematology/Oncology | 3577810571 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Maryland School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Beacon Cancer Care PLLC
Practice addresses (Care Compare)
3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804
Hospital & facility affiliations
- Kootenai Health
- Northwest Specialty Hospital
- Shoshone Medical Center
- Benewah Community Hospital
- Bonner General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.250511 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Cancer Care PLLC | Current | Accepting new patients | |
| Beacon Cancer Care PLLC | Current | Accepting new patients |
Locations
3815 N Schreiber Way
Unit 101
Coeur D Alene, ID 83815
Phone (208) 755-2804
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1641 E Polston Ave
Ste 102
Post Falls, ID 83854
Phone (208) 618-5212
Organizations & group practices 2
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.
-
- Specialty Pharmacy
- Coeur D Alene, ID
- NPI 1437973674
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1548759517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W. 10TH AVENUE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-293-8000",
"fax_number": "614-293-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W. 10TH AVENUE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-293-9869",
"fax_number": "614-293-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERLAND",
"first_name": "NATASHA",
"middle_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-05",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.250511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.