Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124015896 Individual Practitioner Male Practitioner

Dr. Harris John Waters , MD

Specialist • Silverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Harris Waters, MD is a registered healthcare professional specializing in Specialist in Silverton, OR. Practice services are available at 450 WELCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Welch St

Silverton, OR 973811934

Telephone 5038735310
Fax 5038735315
Associated Practice Facility / Clinic
🏢 Silverton Surgical,llc Facility NPI 1104993286

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Silverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Silverton, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR MD15831

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
082755 (OR)
Commercial Insurance / Payer ID Medicare Ptin
109896 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1114367919

Doctor of Medicine (M.D.), Master of Public Health

NPI 1225025992

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2010

Registered at 450 WELCH ST, SILVERTON, OR 973811934 (Tel: 5038735310)

📍
Updated Business Mailing Address May 26, 2010

Registered at 450 WELCH ST, SILVERTON, OR 973811934 (Tel: 5038735310)

👤
Provider Name / Credentials Updated May 26, 2010

Recorded as HARRIS WATERS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2010

Specialist (License #MD15831 in OR)

🟢
Initial NPI Registration & Enumeration September 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124015896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2005
Last Update: May 26, 2010
Sole Proprietor: No

Mailing Address

450 Welch St

Silverton, OR 973811934

Phone: 5038735310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.