Harry W. Waters, Jr., MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD033290E Issued in PA

Legal business name

HARRY W. WATERS, JR., MD

Practice address

202 Meadowgrove Cir
Carnegie, PA 15106-5008

Phone

(412) 279-2476

Fax

(412) 276-5867

NPI assigned

Sep 24, 2012

Last updated

Sep 24, 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

Harry William Waters Jr., M.D.

Title

Owner

Phone

(412) 279-2476

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1598016164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEADOWGROVE CIR",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151065008",
            "telephone_number": "412-279-2476",
            "fax_number": "412-276-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEADOWGROVE CIR",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151065008",
            "telephone_number": "412-279-2476",
            "fax_number": "412-276-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY W. WATERS, JR., MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-279-2476",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD033290E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "300293",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "033216",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.