MICHAEL FARRIS WATERS MD NPI 1629140561

NPI Information

NPI: 1629140561
Provider Name: MICHAEL FARRIS WATERS, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY
ZIP 10029
Phone: (212) 241-7076
Get Directions

Michael Farris Waters, MD is a neurology psychiatry neurology in New York, NY with 24 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Michael Farris Waters, MD NPI is 1629140561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY
ZIP 10029-574
Phone: (212) 241-7076

The NPI 1629140561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084V0102X	Psychiatry & Neurology	Vascular Neurology	52108	ARIZONA	No
2	2084V0102X	Psychiatry & Neurology	Vascular Neurology	327113	NEW YORK	No
3	2084N0400X	Psychiatry & Neurology	Neurology	327113	NEW YORK	Yes
4	174400000X	Specialist		A78335	CALIFORNIA	No
5	2084N0400X	Psychiatry & Neurology	Neurology	ME86883	FLORIDA	No
6	2084N0400X	Psychiatry & Neurology	Neurology	52108	ARIZONA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	279658900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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