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Dr. Patrick Timothy Waters

Family Doctor - Geriatric Medicine

2101 W Lehigh Ave Ste A
Philadelphia , Pennsylvania 19132-2664

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Dr. Patrick Timothy Waters

Family Doctor - Geriatric Medicine

2101 W Lehigh Ave Ste A
Philadelphia , Pennsylvania 19132-2664

(267) 202-7398

Write a Review Save Call

Dr. Patrick Timothy Waters

Family Doctor - Geriatric Medicine

2101 W Lehigh Ave Ste A
Philadelphia , Pennsylvania 19132-2664

(267) 202-7398 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine

Languages spoken

  • English

Location

2101 W Lehigh Ave Ste A Philadelphia , Pennsylvania 19132-2664

First Address

  • Dr. Patrick Timothy Waters
  • 1395 Nw 167th St
  • Miami Gardens, FL
  • Zip : 33169-5710
  • Fax : (267) 202-7398
  • Phone : (267) 866-7211

Second Address

  • Dr. Patrick Timothy Waters
  • 2101 W Lehigh Ave Ste A
  • Philadelphia, PA
  • Zip : 19132-2664
  • Phone : (267) 866-7211

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FAQs


Where did Dr. Patrick Timothy Waters attend graduate school?

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Where did Dr. Patrick Timothy Waters do his residency?

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Where did Dr. Patrick Timothy Waters do his fellowship?

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Is Dr. Patrick Timothy Waters board certified?

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What type of doctor is Dr. Patrick Timothy Waters

Family Doctor - Geriatric Medicine

In what state does Dr. Patrick Timothy Waters practice in?

Pennsylvania

Where is Dr. Patrick Timothy Waters ’s practice located?

2101 W Lehigh Ave Ste A , Philadelphia, Pennsylvania, 19132-2664

What is Dr. Patrick Timothy Waters ’s gender?

Male

Is Dr. Patrick Timothy Waters a sole practitioner?

No

Is Dr. Patrick Timothy Waters accepting new patients?

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What languages does Dr. Patrick Timothy Waters speak?

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Does Dr. Patrick Timothy Waters accept insurance?

Yes, Dr. Patrick Timothy Waters accepts insurance

Does Dr. Patrick Timothy Waters offers telemedicine?

Dr. Patrick Timothy Waters has not indicated if he offers telemedicine

What is Dr. Patrick Timothy Waters ’s professional license number?

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What is Dr. Patrick Timothy Waters ’s NPI number?

1356302715

Does Dr. Patrick Timothy Waters have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QG0300X Family Doctor - Geriatric Medicine 0S003179L PA

National Provider Identifier

NPI 1356302715
Provider Name Dr. Patrick Timothy Waters
First Address Miami Gardens, FL 33169-5710
Second Address Philadelphia, PA 19132-2664
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 28/03/2006
Last Update Date 17/03/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0058143000 KEYSTONE AND BLUE INDIV # (01) PA
85987 AETNA HMO ONLY (01) PA
B40730 (02) PA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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