KENNETH MAXWELL WATSON (NPI# 1316454002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316454002 |
| Entity Type | Individual |
| Full Name | KENNETH MAXWELL WATSON |
| Credential | CRNA |
| Practice Address |
777 Hemlock St Macon GA 31201-2102 |
| Mailing Address |
855 Mulberry St Apt 202 Macon GA 31201-6750 |
| Practice Telephone | 4787654132 |
| Mailing Telephone | 6785428581 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 25200 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 222836 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699090993 | Kenneth Lee Watson | Physical Therapy Assistant | 15032 Poquessing Creek Ln, Philadelphia, PA 19116-1531 | 2010-03-30 |
| 1033241484 | Kenneth Lamont Watson | Counselor | 1423 Kirkwood Highway & Polly Drummond Rd, Suites 3304 &3305, Newark, DE 19701 | 2007-03-12 |
| 1114905221 | Kenneth R Watson | Pathology | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2006-01-09 |
| 1346227030 | Kenneth Ray Watson | Chiropractor | 3609 South Blvd., Suite B, Charlotte, NC 28209 | 2005-12-23 |
| 1063408565 | Kenneth R. Watson Jr. | Emergency Medicine | 3212 Scotts Blf, Norman, OK 73072-4873 | 2005-09-21 |
| 1841730538 | Kenneth Watson | Chiropractor | 7800 N Mopac Expy Ste 340, Austin, TX 78759-8962 | 2017-03-01 |
| 1790190122 | Kenneth Watson | Pharmacist | 310 Glades Rd, Berea, KY 40403-1355 | 2014-06-24 |
| 1174596068 | Kenneth W Watson | Nurse Anesthetist, Certified Registered | 902 N 7th St, Cordele, GA 31015 | 2006-02-10 |
| Street Address |
777 HEMLOCK ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452375 | Sandra E Moore | Pediatrics | 777 Hemlock St, Msc 83, Macon, GA 31201-2102 | 2005-07-21 |
| 1740881796 | Daquanda Arnett | Registered Nurse | 777 Hemlock St, Macon, GA 31201-2102 | 2020-11-05 |
| 1538770383 | Laquanna Foster | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2020-08-14 |
| 1669081113 | Sabrina L. Singleton | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2020-07-29 |
| 1528686003 | Jonathan Michael Clopton | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2020-07-10 |
| 1194348623 | Samay Bhushan | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-05-19 |
| 1184247785 | Andrew Tyler Barnes | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-05-19 |
| 1922627108 | Gwenda Faye Canady | Registered Nurse | 777 Hemlock St, Macon, GA 31201-2102 | 2020-04-08 |
| 1376172536 | Hannah Batten | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-04-08 |
| 1225667587 | Michael T Stevens | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962925974 | Tracy Joy Hurdle Joiner | Nurse Anesthetist, Certified Registered | 350 Hospital Dr Ste 410, Macon, GA 31217-3838 | 2017-07-21 |
| 1164881090 | Heather Brooks | Nurse Anesthetist, Certified Registered | 305 Whittington Dr, Macon, GA 31216-6585 | 2016-02-20 |
| 1306123336 | Nmda Anesthesia LLC | Nurse Anesthetist, Certified Registered | 577 Mulberry St Ste 110, Macon, GA 31201-8220 | 2011-11-04 |
| 1639303126 | Astoria Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 403 Lakeview Pl, Macon, GA 31211-6127 | 2009-05-12 |
| 1780842633 | Jeffrey Elliott Cryder | Nurse Anesthetist, Certified Registered | 179 Mason Philip Drive, Macon, GA 31216-7366 | 2008-05-28 |
| 1720260045 | Ray Stapleton, Crna P.C. | Nurse Anesthetist, Certified Registered | 5309 Whitehouse Plantation Rd., Macon, GA 31210 | 2007-11-28 |
| 1275748774 | Wendy J. Gigliotti | Nurse Anesthetist, Certified Registered | 360 Fairways Dr, Macon, GA 31220-8776 | 2007-05-10 |
| 1780805564 | Jason Sirny | Nurse Anesthetist, Certified Registered | 610 Plum, Macon, GA 31201 | 2007-05-01 |
| 1194896324 | Mary Kay Lampe | Nurse Anesthetist, Certified Registered | 405 Noll Dr, Macon, MO 63552-3649 | 2006-11-10 |
| 1356396600 | Markus Eduardo Roberson | Nurse Anesthetist, Certified Registered | 6816 Bay Point Dr, Macon, GA 31220-5260 | 2006-05-24 |
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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.