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

Mr. James D Waters

Individual provider Emergency Medicine Physician · NPI 1669761912

Mr. James D Waters is an Emergency Medicine in Cheyenne, Wyoming. Graduated from University of Washington School of Medicine in 2011, 15 years ago. Practices with Summit Medical Group LLC, a 38-clinician group and accepts Medicare assignment. Licensed in New York and Wyoming.

Years since qualifying
15
Trained at
University of Washington School of Medicine
Licensed in
NY, WY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

214 E 23rd St
Cheyenne, WY 82001-3748
Phone: (307) 634-2273
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence TL2562 (WY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 7973983 (NY)

Record details

NPI number1669761912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2011
Last updated in NPPESOctober 4, 2016
Mailing address214 E 23rd St, Cheyenne, WY 82001-3748

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Summit Medical Group Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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