P Praxis·MD
● Active Type 2 · Organization

Stanley J. Waters MD

Orthopaedic Surgery·Boise, ID· NPI 1952359473 · Enumerated 2006 · 20 years on NPI
Stanley J. Waters MD is 1 of 239 orthopaedic surgery organizations in Idaho.
NPI age
20 years
Enumerated 2006-05-05
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Waters
Owner
Last NPPES update
2015-05-05
Source: monthly bulk 2026-05

How this organization compares

Across 239 active orthopaedic surgery providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1673 Shoreline Dr, Ste 100
Boise, ID 837026736
📞 2083220485fax 2083788228
Mailing address
1673 Shoreline Dr, Ste 100
Boise, ID 837026736
📞 2083220485fax 2083788228

Authorized official

Stanley J Waters, M.D., PH.D.
Owner
📞 2083220485

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Orthopaedic Surgery Primary
    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
    ID license #M6247 taxonomy 207X00000X

Identifiers

TypeValueNotes
01 (ID) 8J893 BLUE CROSS GROUP #

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • AMERICANA ORTHOPAEDICS
    Type code 3 recorded 2006-05-05

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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