SHANNON L WATTS


Address: 1540 Southtown Dr, Ste 104, Granbury, TX 76048-2682
Phone: 8172791390

SHANNON L WATTS (NPI# 1114009578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114009578
Entity Type Individual
Full Name SHANNON L WATTS
Credential MD
Practice Address 1540 Southtown Dr
Ste 104
Granbury
TX 76048-2682
Mailing Address Po Box 99371
Fort Worth
TX 76199-0371
Practice Telephone 8172791390
Practice Fax Number 8175735150
Mailing Telephone 6828851855
Mailing Fax Number 6828857347
Enumeration Date 2006-10-19
Last Update Date 2010-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics J6048 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX AETNA PIN 5618256 01
TX BCBSTX GRP PIN 00U87Z 01
TX UHC PIN 1399858 01
TX 140442860 05
TX CIGNA PIN 3447654 01
TX BCBSTX IND PIN 87013G 01
TX CCHIP PIN WATSG13439 01
TX FIRSTCARE PIN 126490101 01
TX 137072802 05
GRP NPI NUMBER 1750369203 01
TX FIRSTHEALTH PIN 965043 01
TX 117559805 05

Other Providers SHANNON WATTS

NPI Name Taxonomy Address Enumeration
1023678620 Shannon Lynn Watts Physician Assistant 5401 Old Court Rd, Randallstown, MD 21133-5103 2019-06-17
1881050300 Shannon Watts Social Worker 40 Summer St, Bangor, ME 04401-7144 2016-01-13
1457635526 Shannon Eller Watts Physician Assistant 2002 Medical Pkwy Ste 500, Annapolis, MD 21401-3268 2011-10-06
1891022927 Shannon Watts Speech-Language Pathologist 169 Tequesta Dr, Suite 24e, Tequesta, FL 33469-2768 2009-11-10
1184838906 Shannon K Watts Family Medicine 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 2007-05-10

Office Location

Street Address 1540 SOUTHTOWN DR
STE 104
City GRANBURY
State TX
Zip Code 76048-2682

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215928767 Michael Bryant Stroud Dermatology 1540 Southtown Dr, Suite 107, Granbury, TX 76048-2682 2005-11-03
1982753299 Dme Solutions Lp Durable Medical Equipment & Medical Supplies 1540 Southtown Dr, Suite 101, Granbury, TX 76048-2682 2007-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689213415 Tena Lee Wood I Licensed Practical Nurse 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 2019-12-26
1811456593 Laura Nicole Graham Counselor 2101 West Pearl Street, Granbury, TX 76048 2019-03-13
1477000974 Globalrehab - Fort Worth, Lp Rehabilitation Hospital 805 Hill Blve, Ste 109, Granbury, TX 76048 2016-09-01
1780130245 Rachel Diane Rouse Counselor 1903 W Pearl Street, Granbury, TX 76048 2016-08-25
1477946648 Adriana Brown Nurse Practitioner 805 Hill Blvd., #104, Granbury, TX 76048 2015-03-12
1407261233 Rogers King Coleman General Practice 1411 Crawford Street, Granbury, TX 76048 2014-07-01
1891115176 Trinity Nursing and Rehabilitation of Granbury, Lp Skilled Nursing Facility 600 Reunion Court, Granbury, TX 76048 2014-04-24
1639507122 Kayelen Helton Counselor 807 Paluxy Road, Granbury, TX 76048 2013-10-22
1013257799 Pecan Valley Mhmr Region Counselor 2101 W. Pearl St., Granbury, TX 76048 2013-02-18
1114240223 Talbot Green Mccormick Jr. General Practice 2306 Cologne Dr., Granbury, TX 76048 2010-03-03
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760667547 Laura G Power Md Pa Pediatrics 1305 Paluxy Rd Ste B, Granbury, TX 76048-5641 2007-12-30
1225226657 Wendy Heger Bonnell Pediatrics 9222 Monticello Dr, Granbury, TX 76049-4502 2007-10-10
1700099207 Granbury Pediatrics & Associates Pediatrics 805 Paluxy Rd, Granbury, TX 76048-2329 2007-05-08
1164504577 David B Steinmann Pediatrics 3906 E Us Highway 377, Ste 110, Granbury, TX 76049-7609 2006-10-19
1659392058 Laura G Power Pediatrics 1308 Paluxy Rd Ste 301, Granbury, TX 76048-5609 2006-07-21
1205181302 Saloni Sharma Paudel Pediatrics 1315 Waters Edge Dr Ste 101, Granbury, TX 76048 2012-07-16
1154506566 Delia I. Wright, Md, Pa Pediatrics 1305 Paluxy Rd Ste B, Granbury, TX 76048-5641 2008-01-03
1972608636 Lake Granbury Internal Medicine & Pediatrics, Pa Pediatrics 2005 Rockview Drive, Granbury, TX 76049 2006-09-14
1568490423 Delia Irene Wright Pediatrics 1305 Paluxy Rd, Ste. B, Granbury, TX 76048-5641 2006-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598366635 Colleen Jaurequi Pediatrics 309 Shepards Hill Dr, Rockwall, TX 75087-2850 2020-11-05
1114526050 915 Pediatrics Pllc Pediatrics 3261 Joe Battle Blvd, El Paso, TX 79936-1156 2020-10-21
1114525532 Springs Pediatrics Associates Pllc Pediatrics 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 2020-10-16
1619575487 Sreebhavi Professional Corporation Pediatrics 340 Hawkins Run Rd, Midlothian, TX 76065-6638 2020-10-14
1588262695 Buttercup Pediatrics Pllc Pediatrics 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 2020-10-12
1851908131 Cesar A Ortega Md Pa Pediatrics 3309 Orlando St, Houston, TX 77093-4854 2020-09-30
1992310973 Fernando Castaneda Md Pa Pediatrics 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 2020-09-15
1497368591 Tch Pediatrics Inc Pediatrics 4207 James Casey St Ste 111, Austin, TX 78745-3362 2020-08-28
1356951735 Central Texas Diabetes & Wellness Institute Pediatrics 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 2020-07-31
1306455530 Z-pediatrics Pllc Pediatrics 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 2020-07-23
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Competitor

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City GRANBURY
Zip Code 76048

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Dataset Information

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.

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