DR. MYRA JUNE WATSON (NPI# 1366448425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366448425 |
| Entity Type | Individual |
| Full Name | DR. MYRA JUNE WATSON |
| Credential | D.O. |
| Practice Address |
1205 W Broadway Columbia MO 65203-2125 |
| Practice Telephone | 5734990642 |
| Practice Fax Number | 5734491787 |
| Mailing Telephone | 5734990642 |
| Mailing Fax Number | 5734491787 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2014-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
108840 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 143430 | 01 |
| MO | FIRST HEALTH | 1911260 | 01 |
| MO | AETNA | 7329520 | 01 |
| MO | HEALTHCARE USA | 17496 | 01 |
| MO | RAILROAD MEDICARE | 390007475 | 01 |
| MO | HEALTHLINK | 458323 | 01 |
| MO | MERCY | G99626 | 01 |
| MO | HUMANA | 000623655 | 01 |
| MO | 245327309 | 05 | |
| MO | UNITED HEALTHCARE | 3100096 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487029492 | Myra Watson | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2015-12-02 |
| Street Address |
1205 W BROADWAY |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609186477 | Leslie Steckel | Nurse Practitioner | 1205 W Broadway, Columbia, MO 65203-2125 | 2010-10-14 |
| 1316943475 | William Kellar Winkelmeyer | Internal Medicine | 1205 W Broadway, Columbia, MO 65203-2125 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549389 | Sana Hasan | Internal Medicine | Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2019-07-15 |
| 1295291409 | Zeeshan Azeem | Internal Medicine | 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 | 2019-02-12 |
| 1932614153 | Mohammad Walid Abuzeineh | Internal Medicine | 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 | 2017-12-11 |
| 1982924304 | Walter Garland Edwards Jr. | Internal Medicine | 6447 Eastshore Rd, Columbia, SC 29206-3305 | 2010-06-08 |
| 1215269568 | Zbylut Jozef Twardowski | Internal Medicine | 304 Devine Ct, Columbia, MO 65203-0218 | 2010-02-10 |
| 1578728283 | Cesar Yamil Cardona | Internal Medicine | 854 W. James Campbell Blvd., Ste. 101a, Columbia, TN 38401 | 2008-07-22 |
| 1639337835 | Muhammad Amir Rafiq | Internal Medicine | 1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 | 2008-05-26 |
| 1629235700 | Abdul Basit Usmani | Internal Medicine | 1655 Bernadin Ave, Suite 200, Columbia, SC 29204 | 2008-05-17 |
| 1134391733 | Renee Ann Ellis | Internal Medicine | 121 Park Central Drive Suite 200, Columbia Nephrology, Columbia, SC 29203 | 2008-03-24 |
| 1619156957 | Asha Lenora Bailey | Internal Medicine | 121 Park Central Drive, Suite 200, Columbia, SC 29203 | 2007-11-02 |
| Find all providers in COLUMBIA | ||||
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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.