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

Active since August 31, 2006
27 MILL ST, WALDOBORO, ME 04572(207) 832-5291 Get Directions Write a Review

NPPES record last updated: February 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack L Waterman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK L WATERMAN M.D. (NPI 1356452171) is an individual family medicine provider in Waldoboro, Maine, licensed in Maine (010231) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356452171
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACK L WATERMANCredential: M.D.
Location Address27 MILL STWaldoboro, ME 04572-6013
Mailing Address27 Mill StWaldoboro, ME 04572-6013 · (207) 832-5291
Phone(207) 832-5291
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 23, 2013
✔ NPI 1356452171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · 010231
Definition
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.
27 MILL ST, Waldoboro, ME 04572
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Other Identifiers 2

Medicare ID-Type Unspecified015288ME
Medicare UPINB86267ME

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TED R MOHLIE M.D.
Family Medicine
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 832-5291
MANDY CRANNEY NP
Nurse Practitioner (Gerontology)
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 832-2300
NICHOLE A KELLY N.P.
Nurse Practitioner (Family)
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 832-5291
LESLIE MARIE SQUIERS LCSW
Social Worker (Clinical)
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 380-3779
KEVIN I DAVEY M.D.
Internal Medicine
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 832-5291
DEVON ELIZABETH RILEY FNP-C
Nurse Practitioner (Family)
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 832-2300
JONATHAN W COGGESHALL JR. P.A.
Physician Assistant
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 832-5291
LAUREL L REEVER FNP
Nurse Practitioner (Family)
27 MILL ST
WALDOBORO, ME 04572
Lincoln County (207) 832-5291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Waterman's NPI number?

The NPI number for Jack Waterman is 1356452171. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jack Waterman located?

Jack Waterman practices at 27 Mill St, Waldoboro, ME 04572. The listed phone number is (207) 832-5291.

What is Jack Waterman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Waterman was last updated on February 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.