Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Robert Waters, MD

Individual provider Neuroradiology Physician · NPI 1306045877

Dr. Justin Robert Waters, MD is a Diagnostic Radiology in Tacoma, Washington. Qualified in 2007, 19 years ago. Practices with Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance, a 115-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
19
Licensed in
OR, WA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone: (253) 761-4200
Fax: (253) 761-4201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD60344894 (WA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence MD60344894 (WA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence MD165195 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD165195 (OR)

Record details

NPI number1306045877
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing addressPo Box 1535, Tacoma, WA 98401-1535

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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