DR. JAN D WATSON (NPI# 1336104108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336104108 |
| Entity Type | Individual |
| Full Name | DR. JAN D WATSON |
| Credential | M.D. |
| Practice Address |
2030 W Baseline Rd Suite 182-235 Phoenix AZ 85041-6574 |
| Mailing Address |
2030 W Baseline Rd Ste 182-235 Phoenix AZ 85041-6579 |
| Practice Telephone | 6029572407 |
| Mailing Telephone | 6028993923 |
| Mailing Fax Number | 6028332549 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
24951 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | ZFQ31815 | 01 | |
| MEDICARE | 03-1881 | 01 | |
| AZ | 279689 | 05 | |
| MEDICARE | Z148521 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164783148 | Jan Watson | Occupational Therapy Assistant | 600 N, Westshore Blvd Suite 601, Tampa, FL 33609 | 2012-06-06 |
| Street Address |
2030 W BASELINE RD SUITE 182-235 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235680810 | William Samsky | Registered Nurse | 2030 W Baseline Rd, 182-8063, Phoenix, AZ 85041-6574 | 2016-10-19 |
| 1467864140 | Valley Travelers Social Exploration Inc. | Hospice Care, Community Based | 2030 W Baseline Rd, Ste 182-222, Phoenix, AZ 85041-6574 | 2014-05-29 |
| 1962832618 | Michiko Pepple | Counselor | 2030 W Baseline Rd, Suite 182-411, Phoenix, AZ 85041-6574 | 2013-11-16 |
| 1700111580 | Palm Dental Pllc | Dentist | 2030 W Baseline Rd, Suite 176, Phoenix, AZ 85041-6574 | 2009-10-12 |
| 1871725275 | Ashkan Eskandari | Dentist | 2030 W Baseline Rd, Suite 176, Phoenix, AZ 85041-6574 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915843 | Our Home of Unity LLC | Counselor | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
| 1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
| 1588228373 | Arizona Dental Management | Dentist | 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 | 2019-04-26 |
| 1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
| 1932564697 | Job Elliott | Counselor | 4105 W Saint Charles Ave, Phoenix, AZ 85041 | 2015-12-23 |
| 1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
| 1972900983 | Love Living Life | Assisted Living Facility | 5737 S. 34th Ave, Phoenix, AZ 85041 | 2014-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
| 1518140086 | Arizona Cvs Stores,l.l.c. | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
| Find all providers in zip 85041 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144498692 | Chloe Obstetrics & Gynecology, P.l.l.c. | Obstetrics & Gynecology | 500 W. Thomas Rd, Suite 670, Phoenix, AZ 85013-4224 | 2008-02-19 |
| 1932325073 | Sylvia C Castro | Obstetrics & Gynecology | 15255 N 40th St Suite 105, Phoenix, AZ 85032-4636 | 2007-04-17 |
| 1477915213 | Kaitlin Nelson Elsenheimer | Obstetrics & Gynecology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2016-03-22 |
| 1407262777 | Westridge, Ob/gyn | Obstetrics & Gynecology | 8410 W Thomas Rd Ste 134, Phoenix, AZ 85037-3374 | 2014-07-08 |
| 1801135108 | Teresa June Patin | Obstetrics & Gynecology | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2013-02-06 |
| 1992065601 | Kristina Suntay | Obstetrics & Gynecology | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2012-05-29 |
| 1891960738 | Maria Dolores Hernandez | Obstetrics & Gynecology | 2601 E Roosevelt St, Attn: Stella Garcia, Phoenix, AZ 85008-4973 | 2008-04-22 |
| 1528267994 | Rochelle R Orr | Obstetrics & Gynecology | 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 | 2007-07-16 |
| 1336270834 | Britt D Michie | Obstetrics & Gynecology | 10240 W Indian School Rd, Bld 2 Ste 140, Phoenix, AZ 85037 | 2007-03-08 |
| 1356491989 | David L Greenspan Md Pllc | Obstetrics & Gynecology | 600 W Thomas Rd, Phoenix, AZ 85013-4213 | 2007-01-12 |
| Find all providers in PHOENIX | ||||
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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.