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

Dr. Theresa A Waters, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629393202

Dr. Theresa A Waters, DO is a Cardiovascular Disease (Cardiology) in Fayetteville, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2010, 16 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

510 Towne Dr
Fayetteville, NY 13066-1331
Phone: (315) 663-0500
Fax: (315) 663-0514
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 285798 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 61027 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 285798 (NY)

Record details

NPI number1629393202
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2010
Last updated in NPPESSeptember 27, 2019

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2010 (16 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fayetteville