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EDWIN C WATERS MD
NPI 1861439507
Family Medicine in Owasso, OK

Active since June 01, 2006
12455 E 100TH ST N, SUITE 120, OWASSO, OK 74055(918) 274-5510(918) 274-5519 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin C Waters Md NPPES

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

EDWIN C WATERS MD (NPI 1861439507) is an individual family medicine provider in Owasso, Oklahoma, licensed in Oklahoma (25302) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1861439507
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWIN C WATERSCredential: MD
Location Address12455 E 100TH ST N, SUITE 120Owasso, OK 74055-4674
Mailing Address1515 N Harvard Ave, Suite ETulsa, OK 74115-4957 · (918) 832-6049 · Fax (918) 832-6055
Phone(918) 274-5510
Fax(918) 274-5519
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateFebruary 9, 2011
✔ NPI 1861439507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OK · 25302✔ Licensed in MO · 115331
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.
12455 E 100TH ST N, Owasso, OK 74055
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Other Identifiers 3

Medicare UPINH41941MO
Medicare PIN246706701OK
Medicaid205336308MO

Other Providers at the Same Location NPPES 12

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

MRS. RACHEL ANN EVANS APRN
Nurse Practitioner (Family)
12455 E 100TH ST N
OWASSO, OK 74055
Tulsa County (405) 757-7818
DR. IAN P GOODMAN M.D.
Orthopaedic Surgery
12455 E 100TH ST N
OWASSO, OK 74055
Tulsa County (918) 272-9464
ROGER K PFEIFFER D.O.
Obstetrics & Gynecology (Gynecologic Oncology)
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Tulsa County (918) 274-5555
CALEB NUNLEY M.D.
Family Medicine (Sports Medicine)
12455 E 100TH ST N, STE. 120
OWASSO, OK 74055
Tulsa County (918) 272-9464
KIMBERLY A SORENSEN D.O.
Obstetrics & Gynecology
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Tulsa County (918) 274-1555
DR. KYLE CHARLES BENNETT
Optometrist
12455 E 100TH ST N, SUITE 110
OWASSO, OK 74055
Tulsa County (918) 274-7100
DR. CHARLES DENNIS KNIFE CHIEF M.D.
Obstetrics & Gynecology
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Tulsa County (918) 274-5555
CYNTHIA MALOY M.D.
Family Medicine
12455 E 100TH ST N, SUITE 120
OWASSO, OK 74055
Tulsa County (918) 274-5510

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 Edwin Waters's NPI number?

The NPI number for Edwin Waters is 1861439507. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Edwin Waters located?

Edwin Waters practices at 12455 E 100th St N Suite 120, Owasso, OK 74055. The listed phone number is (918) 274-5510.

What is Edwin Waters'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 Edwin Waters was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.