SHANNON U. WATERMAN MD – NPI #1649279860
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
SHANNON WATERMAN is a physician located in TACOMA, WA. NPPES has assigned the NPI number 1649279860 to SHANNON WATERMAN on July 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 17 years ago on Aug 05, 2009. 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 SHANNON WATERMAN below.
NPI Profile for
SHANNON U. WATERMAN
(about 21 years ago)
PARKLAND CLINIC COMMUNITY HEALTHCARE
TACOMA, WA 98444 Phone: (253) 536-2020 Fax: (253) 536-5327
TACOMA, WA 98421 Phone: (253) 722-1540 Fax: (253) 722-1546
Identifiers for SHANNON WATERMAN
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE RAILROAD | P00707652 | |
| MEDICAID | NM | 41383885 | |
| MEDICAID | WA | 8505422 |
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
WA | MD00041919 |
| 208600000X - Surgery |
WA | 025209MD00041909 |
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.