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

Edwin C Waters, MD

Individual provider Family Medicine Physician · NPI 1861439507

Edwin C Waters, MD is a Family Medicine Physician in Owasso, Oklahoma. Licensed in Missouri and Oklahoma. Registered with an NPI since 2006.

Licensed in
MO, OK
In the registry since
2006
Specialties on file
2
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

12455 E 100th St N Ste 120
Owasso, OK 74055-4674
Phone: (918) 274-5510
Fax: (918) 274-5519
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25302 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 115331 (MO)

Record details

NPI number1861439507
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESFebruary 9, 2011
Mailing address1515 N Harvard Ave, Suite E, Tulsa, OK 74115-4957

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