Dr. John S Waters
Interventional Cardiology
2300 N Edward St Ste 2400
Decatur
, Illinois 62526-4163
Dr. John S Waters
Interventional Cardiology
2300 N Edward St Ste 2400
Decatur
, Illinois 62526-4163
(217) 876-2874
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. John S Waters
- 2300 N Edward St Gsbll
- Decatur, IL
- Zip : 62526-4163
- Fax : (217) 876-2874
- Phone : (217) 876-2857
Second Address
- Dr. John S Waters
- 2300 N Edward St Ste 2400
- Decatur, IL
- Zip : 62526-4163
- Fax : (217) 876-2405
- Phone : (217) 876-2400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | 036107181 | IL |
National Provider Identifier
| NPI | 1033176656 |
|---|---|
| Provider Name | Dr. John S Waters |
| First Address | Decatur, IL 62526-4163 |
| Second Address | Decatur, IL 62526-4163 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 27/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.