Active NPIIndividual provider

Dr. Wayne R Waterman, DO

Neurological Surgery in Bangor, Maine

NPI Number1457359226
Practice location
417 State St, Suite 221, Bangor, ME 04401-6630
Fax
207-973-9555
Last updated
April 22, 2020

Wayne Robert Waterman is a Neurological Surgery based in Bangor, ME. Wayne Robert Waterman practices in Bangor, ME and has the professional credentials of DO. The NPI Number for Wayne Robert Waterman is 1457359226 and holds a License No. DO2140 (ME). The current practice location address for Wayne Robert Waterman is 417 State St, Suite 221, Bangor, ME 04401-6630 and can be reached out via phone at 207-973-9949 and via fax at 207-973-9555.

Provider Profile Details

NPI Number
1457359226
Provider Name
Wayne Robert Waterman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
417 State St, Suite 221, Bangor, ME 04401-6630
Phone Number
207-973-9949
Fax Number
207-973-9555
Primary Taxonomy
Neurological Surgery · 207T00000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2005
Last Update Date
April 22, 2020
Certification Date
April 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
417 State St
Suite 221
Bangor, ME 04401-6630
City
Bangor
State
Maine
Zip
04401-6630
Phone Number
207-973-9949
Fax Number
207-973-9555
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD
Suite 300
Brewer, ME 04412-1005
City
Brewer
State
ME
Zip
04412-1005
Phone Number
207-973-5000
Fax Number
207-973-5042

License Information

License Number
DO2140
License State
ME
Taxonomy
Neurological Surgery · 207T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Wayne R Waterman, DO?

The NPI number of Dr. Wayne R Waterman, DO is 1457359226. It was assigned on July 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Wayne R Waterman, DO?

Dr. Wayne R Waterman, DO is registered under the primary taxonomy Neurological Surgery (code 207T00000X), licensed in ME under license number DO2140.

Where does Dr. Wayne R Waterman, DO practice?

The practice location is 417 State St, Suite 221, Bangor, ME 04401-6630. The office can be reached at 207-973-9949 (phone) or 207-973-9555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457359226 directly on the NPPES registry website.

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