SALLIE J. WATERS M.D. – NPI #1982773685
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SALLIE WATERS is a physician located in DUNCAN, OK. NPPES has assigned the NPI number 1982773685 to SALLIE WATERS on November 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name SALLIE JANE STURDEVANT. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Dec 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SALLIE WATERS below.

NPI Profile for
SALLIE J. WATERS

NPI Number
1982773685
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SALLIE J. WATERS
Former Name: SALLIE JANE STURDEVANT
Credentials
M.D.
Primary location
1313 JACKIE RD.
DUNCAN, OK 73533
Phone: (580) 251-8212 Fax: (580) 252-1020
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for SALLIE WATERS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200014900A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OK 23254

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.