ANIKA NINA WATSON (NPI# 1073776126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073776126 |
| Entity Type | Individual |
| Full Name | ANIKA NINA WATSON |
| Credential | M.D. |
| Practice Address |
3303 S Bond Ave Portland OR 97239-4501 |
| Mailing Address |
3535 Peachtree Rd Ne Ste 520-258 Atlanta GA 30326-3287 |
| Practice Telephone | 5034180990 |
| Practice Fax Number | 5034944982 |
| Mailing Telephone | 7706867052 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD201216 | OR | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
72105 | WI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
79732 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1836 South Ave, La Crosse, WI 546015429 | 6087827300 |
| Street Address |
3303 S BOND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831157585 | Nancy Puzziferri | Surgery | 3303 S Bond Ave, Portland, OR 97239-4501 | 2006-05-03 |
| 1275131682 | Suzanne Lynn Groth | Rehabilitation Practitioner | 3303 S Bond Ave, Portland, OR 97239-4501 | 2020-10-16 |
| 1346859907 | Pamela Jean St Clair | Nurse Practitioner | 3303 S Bond Ave, Portland, OR 97239-4501 | 2020-07-29 |
| 1174146716 | Amanda Kristi Dieu | Optometrist | 3303 S Bond Ave, Portland, OR 97239-4501 | 2020-05-18 |
| 1043872492 | Won Hyung Ryu | Neurological Surgery | 3303 S Bond Ave, Portland, OR 97239-4501 | 2019-07-07 |
| 1851886246 | David Richard Murphy | Physician Assistant | 3303 S Bond Ave, Portland, OR 97239-4501 | 2018-06-27 |
| 1962858324 | Erin Foster | Dermatology | 3303 S Bond Ave, Portland, OR 97239-4501 | 2016-05-04 |
| 1467807289 | Jocelyn Michelle Jiao | Psychiatry & Neurology | 3303 S Bond Ave, Portland, OR 97239-4501 | 2016-04-29 |
| 1700230372 | Bennett Hong | Ophthalmology | 3303 S Bond Ave, Portland, OR 97239-4501 | 2016-04-20 |
| 1609244086 | Wesley Yu | Dermatology | 3303 S Bond Ave, Portland, OR 97239-4501 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| 1639313273 | David Pettersson | Radiology | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-27 |
| 1629276191 | Joe Mun-jung Chan | Radiology | 3181 Sw Sam Jackson Park Rd # L-340, Portland, OR 97239-3011 | 2007-07-06 |
| 1194846345 | Jay H Donohoo | Radiology | 01641 Sw Comus St, Portland, OR 97219-7858 | 2007-04-03 |
| 1851458046 | Summit Radiology Inc | Radiology | 1243 Sw Texas St, Portland, OR 97219-2046 | 2007-01-03 |
| 1376600064 | Jeffrey Terrance Hal | Radiology | 1926 W Burnside St, Unit 1604, Portland, OR 97209-2066 | 2007-01-02 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on ANIKA NINA WATSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.