Stanley J. Waters MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M6247 Issued in ID

Legal business name

STANLEY J. WATERS MD

Doing business as

Americana Orthopaedics

Practice address

1673 Shoreline Dr
Ste 100
Boise, ID 83702-6736

Phone

(208) 322-0485

Fax

(208) 378-8228

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Stanley J Waters, M.D., PH.D.

Title

Owner

Phone

(208) 322-0485

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMERICANA ORTHOPAEDICS Doing business as

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1952359473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 SHORELINE DR",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026736",
            "telephone_number": "208-322-0485",
            "fax_number": "208-378-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 SHORELINE DR",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026736",
            "telephone_number": "208-322-0485",
            "fax_number": "208-378-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J. WATERS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-322-0485",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M6247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "8J893",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICANA ORTHOPAEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence Edward Stanciu, LPC
• Sangam Stanczak
• Lyn Standing, NNP
• Mary Rose Fay Standlee, CSFA
• Sharm R Stanger, CRNA
• Taylor Nicole Stannard
• William Scott Stano, DPM
• Scott Stantliff, LCPC
• Jenny Le Stanton
• Keri Lea Stanton

• Orthopaedic Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.