JACK L WATERMAN M.D.
NPI 1356452171
Family Medicine in Waldoboro, ME

NPI Status: Active since August 31, 2006

Contact Information

27 MILL ST
WALDOBORO, ME
ZIP 04572
Phone: (207) 832-5291

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  • Individual
  • Male
  • Family Medicine

About JACK WATERMAN

This page provides the complete NPI Profile along with additional information for Jack Waterman, a primary care provider established in Waldoboro, Maine with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1356452171 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 010231 (ME). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1356452171
Provider Name
JACK L WATERMAN M.D.
Gender
Male
Entity Type
Individual
Location Address
27 MILL ST WALDOBORO, ME 04572
Location Phone
(207) 832-5291
Mailing Address
27 MILL ST WALDOBORO, ME 04572
Mailing Phone
(207) 832-5291
Is Sole Proprietor?
No
Enumeration Date
08-31-2006
Last Update Date
02-23-2013
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A primary care provider (PCP) like Jack Waterman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
010231
License State
ME
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
015288MEDICARE ID-TYPE UNSPECIFIED (04)ME 
B86267MEDICARE UPIN (02)ME 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356452171
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106854114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 8 + 5 + 4 + 1 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1356452171 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316058142 NICHOLE A KELLY N.P.
Individual
Nurse Practitioner (Family)27 MILL ST
WALDOBORO, ME 04572
(207) 832-5291
1679684401 JONATHAN W COGGESHALL JR. P.A.
Individual
Physician Assistant27 MILL ST
WALDOBORO, ME 04572
(207) 832-5291
1932487121 LAUREL L REEVER FNP
Individual
Nurse Practitioner (Family)27 MILL ST
WALDOBORO, ME 04572
(207) 832-5291
1093826810 TED R MOHLIE M.D.
Individual
Family Medicine27 MILL ST
WALDOBORO, ME 04572
(207) 832-5291
1508977323 KEVIN I DAVEY M.D.
Individual
Internal Medicine27 MILL ST
WALDOBORO, ME 04572
(207) 832-5291
1669098729 DEVON ELIZABETH RILEY FNP-C
Individual
Nurse Practitioner (Family)27 MILL ST
WALDOBORO, ME 04572
(207) 832-2300
1548316508DR. JUDITH VICTORIA ALDRICH D.O.
Individual
Family Medicine27 MILL ST
WALDOBORO, ME 04572
(207) 832-2300
1366558694 LESLIE MARIE SQUIERS LCSW
Individual
Social Worker (Clinical)27 MILL ST
WALDOBORO, ME 04572
(207) 380-3779
1104443803 MANDY CRANNEY NP
Individual
Nurse Practitioner (Gerontology)27 MILL ST
WALDOBORO, ME 04572
(207) 832-2300
1134918220MS. BRENDA DIANE HAMILTON LCSW
Individual
Social Worker (Clinical)27 MILL ST
WALDOBORO, ME 04572
(207) 832-2300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356452171, enumerated in the NPI registry as an "individual" on August 31, 2006

The provider is located at 27 Mill St Waldoboro, Me 04572 and the phone number is (207) 832-5291

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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