Chester Hill Waters III, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

14899 Issued in NE

Practice address

11819 Miracle Hills Dr
Suite 203
Omaha, NE 68154-4428

Phone

(402) 492-9922

Fax

(402) 492-9944

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chester H Waters III MD PC

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1275603995
  NPD (past) Authorized official

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1841280252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 MIRACLE HILLS DR",
            "address_2": "SUITE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544428",
            "telephone_number": "402-492-9922",
            "fax_number": "402-492-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 MIRACLE HILLS DR",
            "address_2": "SUITE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544428",
            "telephone_number": "402-492-9922",
            "fax_number": "402-492-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CHESTER",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "14899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "1599",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47073160200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Waszgis Vaca
• Kathrine Watada, CRNA
• Estefania Watanabe
• Ruth Waterfield
• John Waterman
• Crystal K Waters, APRN
• Jaclyn Waters
• Lavonne Aniece Waters
• Matthew David Waters, AAS, PLADC
• Sarah Renee Waters

• Orthopaedic Surgery Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Orthopaedic Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.