DR. KEVIN MICHAEL WATT (NPI# 1184899460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184899460 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL WATT |
| Credential | M.D. |
| Practice Address |
Dumc 2301 Erwin Rd Durham NC 27710 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 134974 | NC | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
11371979-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326025743 | Kevin J Watt | Optometrist | 6310 N Main St, Ste A, Dayton, OH 45415-3148 | 2005-12-28 |
| 1295865095 | Kevin S Watt | Chiropractor | 1110 W Kettleman Ln, #27, Lodi, CA 95240-6031 | 2007-03-07 |
| Street Address |
DUMC 2301 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831259167 | Kelly Lochmuller | Nurse Anesthetist, Certified Registered | Dumc, 307 Trent Drive, Durham, NC 27710-0001 | 2006-12-08 |
| 1972900926 | Teresa Marie Clayton | Physician Assistant | Dumc, Box 3807, Durham, NC 27710-0001 | 2014-11-19 |
| 1609156264 | Elizabeth A Heard | Orthotist | Dumc, M04 Davison Bldg, Durham, NC 27710-0001 | 2011-08-26 |
| 1457594517 | Xiaoyin Jiang | Pathology | Dumc, Durham, NC 27710-0001 | 2009-04-19 |
| 1619131372 | Rachel E Dew | Psychiatry & Neurology | Dumc, Box 3875, Durham, NC 27710-0001 | 2008-07-11 |
| 1295909034 | Jeffrey Melson Clarke | Student in an Organized Health Care Education/Training Program | Dumc, Box 3951, Durham, NC 27710-0001 | 2008-04-14 |
| 1073707782 | Christopher Adam Kenedi | Internal Medicine | Dumc, Box 3837, Durham, NC 27710-0001 | 2007-09-05 |
| 1598967200 | Saumil Mahendra Chudgar | Internal Medicine | Dumc, Box 31379, Durham, NC 27710-0001 | 2007-06-04 |
| 1134248057 | Michael J Stirling | Specialist | Dumc, Box 2990, Durham, NC 27710-0001 | 2007-03-29 |
| 1366573743 | Michelle Marie Green | Nurse Practitioner | Dumc, Box 6241, Durham, NC 27710-0001 | 2007-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770663726 | Stephen Leinenweber | Pediatrics | Duke Hospital South Trent Dr, Durham, NC 27710-0001 | 2006-10-16 |
| 1417904889 | David A Turner | Pediatrics | 2300 Erwin Road, Durham, NC 27710 | 2006-05-30 |
| 1003159179 | Candice Marlow Ray | Pediatrics | 2301 Erwin Rd, Durham, NC 27710 | 2013-03-27 |
| 1215277876 | Rachael E Bushman | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-02-19 |
| 1053602805 | Jennifer Irene Sherwin | Pediatrics | 2301 Erwin Rd, Durham, NC 27705 | 2011-04-27 |
| 1184882078 | Caroline Ozment | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-05-28 |
| 1033272802 | Ira Cheifetz | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1013070895 | Vinod Prasad | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1710067715 | Jon Meliones | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-16 |
| 1154361491 | Rebecca L Smith | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2006-06-07 |
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| 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.