George David Waterman Jr.

M.D. | Pediatric Emergency Medicine | Male

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Complete Profile:

George David Waterman Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	George David Waterman Jr.
Credential :	M.D.
Gender :	Male

Business Address:

George David Waterman Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	555 S 18th St Columbus, OH, 43205-2654 United States
Phone Number :	614-722-4867
Fax Number :	614-722-4380

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1972500015
NPI Entity Type :	Individual
First Enrolment Date :	05 Jul, 2005
Last Updated On :	02 Dec, 2008

Medicare Participation:

George David Waterman Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2062453483
Medicare Enrollment ID :	I20090615000354
Primary Specialty :	Emergency Medicine
Medical School :	State University Of Ny Upstate Medical University
Graduation Year :	1999
Accepts Medicare?	Yes. George David Waterman Jr. accepts medicare insurance.

Group Practice Association:

George David Waterman Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which George David Waterman Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Albany Medical College	1759293111	851	47 New Scotland Ave Albany, NY - 122083412 Ph: 5182625633	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for George David Waterman Jr. are as mentioned. Primary taxonomy code for George David Waterman Jr., M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	35080962	OH

Legacy Identifiers:

Other legacy medical identifiers of George David Waterman Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2317675	MEDICAID	OH

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	555 S 18th St Columbus, OH, 43205-2654 United States
Phone Number :	614-722-4867
Fax Number :	614-722-4380

Business Location:

Patients can refer following map for directions to George David Waterman Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.