Statements: Jerry Owen Waters

Canonical ID: NK-BRsQdCHKEEkZRVQvmbtUUP · Entity type: Person (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Person:address`	717 W PINE AVE, EL SEGUNDO, CA 90245	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-06-06
`Person:address`	717 West Pine Avenue, El Segundo, CA, 90245	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:address`	EL SEGUNDO, CA 90245, USA	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-06-07
`Person:birthDate`	1954-09-06	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-08
`Person:country`	us	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:country`	us	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-08
`Person:country`	us	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-09
`Person:createdAt`	2022-03-08	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-09
`Person:firstName`	Jerry	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:firstName`	JERRY	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-08
`Person:firstName`	JERRY	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-09
`Person:id`	761e6bd6c3c1c2b928dd16e38e8e7a9945aca098	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-10-11
`Person:id`	b9c5b0998785361d7701a2e6653215dd4d9ee779	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-12-12
`Person:id`	743f7bdcc0b34a28c49b691ef3cf21c47f26ed80	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2025-09-12
`Person:lastName`	Waters	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:lastName`	WATERS	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-08
`Person:lastName`	WATERS	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-09
`Person:middleName`	OWEN	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-10-11
`Person:middleName`	OWEN	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-10-11
`Person:middleName`	Owen	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:name`	JERRY OWEN WATERS	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-09
`Person:name`	Jerry Owen Waters	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:name`	JERRY OWEN WATERS	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-08
`Person:npiCode`	1437367307	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-12-12
`Person:npiCode`	1437367307	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-06-06
`Person:position`	EMERGENCY MEDICINE (PHYSICIAN (MD, DO))	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-08
`Person:programId`	US-HHS-OIG	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2025-09-12
`Person:registrationNumber`	00G512210	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-12-12
`Person:registrationNumber`	G 51221	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-12-12
`Person:sector`	Physician	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:topics`	debarment	eng	us_sam_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-09
`Person:topics`	debarment	eng	us_ca_med_exclusions	`us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b`	2024-11-07
`Person:topics`	debarment	eng	us_hhs_exclusions	`us-fed-excl-jerry-owen-waters-90245-el-segundo`	2024-05-08

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