DEBORAH U WATERS MD NPI 1073502639

NPI Information

  • NPI: 1073502639
  • Provider Name: DEBORAH U WATERS, MD
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: US HWY 491 NORTH
    SHIPROCK, NM
    ZIP 87420
  • Phone: (505) 368-6300

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NPI Details

Deborah U Waters, MD is a sports medicine physical medicine rehabilitation in Shiprock, NM. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. Deborah U Waters, MD NPI is 1073502639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

US HWY 491 NORTH
SHIPROCK, NM
ZIP 87420
Phone: (505) 368-6300
Fax: (505) 368-6324

The NPI 1073502639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 12/26/2007.

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
1208100000XPhysical Medicine & RehabilitationG2241TEXASNo
22081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineG2241TEXASNo
32081S0010XPhysical Medicine & RehabilitationSports MedicineMD039557EPENNSYLVANIAYes

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
1C23198MEDICARE UPIN
2Q9896MEDICAIDNEW MEXICO
3432394MEDICAIDARIZONA
443280579MEDICAIDCOLORADO
5320059MEDICARE OSCAR/CERTIFICATION
68HAK53MEDICARE PIN

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: 11/21/2025

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