JOHN O WATSON


Address: 1301 S Koke Mill Rd, Springfield, IL 62711-9252
Phone: 2175479100

JOHN O WATSON (NPI# 1396770087) 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) 1396770087
Entity Type Individual
Full Name JOHN O WATSON
Credential MD
Practice Address 1301 S Koke Mill Rd
Springfield
IL 62711-9252
Mailing Address Po Box 9469
Springfield
IL 62791-9469
Practice Telephone 2175479100
Practice Fax Number 2175479247
Mailing Telephone 2175479100
Mailing Fax Number 2175479247
Enumeration Date 2006-07-11
Last Update Date 2020-04-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
036119109 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036119109 05
IL RR MEDICARE P00608201 01

Other Providers JOHN WATSON

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1275165557 John Marco Watson Student in an Organized Health Care Education/Training Program School of Medicine, U of Pr, Medical Sciences Campus, San Juan, PR 00936 2020-02-05
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1174919500 John Charles Watson Pediatrics 2616 Varner Dr Ne, Atlanta, GA 30345-1559 2015-04-13
1689965741 John Skelly Watson Surgery 803 S Jackson Ave, Suite 130, Tulsa, OK 74127-9010 2011-04-25
1326341652 John William Watson Internal Medicine 52 Lakeview Dr, Conway, AR 72032-8811 2010-12-08
1710102777 John Watson Otolaryngology 3625 Sw Chintimini Ave, Corvallis, OR 97333-1451 2007-04-16
1821109778 John Joseph Watson Psychologist 220 Montgomery St Ste 1019, San Francisco, CA 94104-3434 2006-08-31
1700999455 John G Watson Chiropractor 1534 Haywood Rd, Hendersonville, NC 28791-2338 2006-08-16
1699782409 John Howard Watson Chiropractor 232 N Broadway St, Ste 102, Greensburg, IN 47240-1792 2006-08-02
1972524437 John Andrew Watson Dermatology 87 Mcgregor St Ste 2100, Manchester, NH 03102-3767 2006-07-21

Office Location

Street Address 1301 S KOKE MILL RD
City SPRINGFIELD
State IL
Zip Code 62711-9252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902892607 D Gordon Allan Orthopaedic Surgery 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2005-09-27
1558973461 Charity E Williams Physical Therapist 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-08-21
1811509821 Christina Prefountain Registered Nurse 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-08-20
1467061408 Daniel S Rebeck Physical Therapist 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-07-27
1245850767 Zachary M Barnett Physician Assistant 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-04-24
1356961908 Jessica Brough Physician Assistant 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-04-23
1013536093 Molly L Morgan Physical Therapist 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-04-10
1326670183 Jeffery R Chambers Nurse Practitioner 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-02-10
1225677396 Carrie F Thornton Registered Nurse 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2020-01-06
1730724972 Lindsay Breanne Dixon Nurse Practitioner 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2019-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578057220 Merissa Pryor Social Worker 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 2018-06-17
1255884623 Dental Professionals of Illinois, P.C. Dentist 2740 Prairie Crossing Drive, Springfield, IL 62711 2016-08-02
1841682424 Americare At Centennial Pointe Assisted Living LLC Assisted Living Facility 3440 Hedley Road, Springfield, IL 62711 2015-02-19
1306249248 Schon Dental, LLC Dentist 2809 Mansion Road Suite D, Springfield, IL 62711 2014-10-07
1891105490 John Weiss Pharmacist 4200 Conestoga Drive, Springfield, IL 62711 2014-05-05
1720350689 Victor Harold Lary Family Medicine 3251 Spaulding Orchard Road, Springfield, IL 62711 2012-02-07
1902181795 Amanda Rose Davis Pharmacist 2500 Koke Mill Rd, Springfield, IL 62711 2011-10-12
1316233703 Karen Zerkle Dentist 2809 Mansion Rd, Suite D, Springfield, IL 62711 2011-06-23
1255520557 Link Chiropractic LLC Chiropractor 7012 Kingsmill Ct, Springfield, IL 62711 2007-10-23
1669688230 Victoria Lynn Driskill Dentist 4701 W. Wabash Ave, Springfield, IL 62711 2007-05-14
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962707075 Charles Mauldin, Md PC Physical Medicine & Rehabilitation 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 2011-01-20
1831581735 Insppire Limited Liability Company Physical Medicine & Rehabilitation 905 W Sproul Rd, Suite 101, Springfield, PA 19064-1254 2015-03-02
1881820280 Eric Wayne Stewart Physical Medicine & Rehabilitation 1229 E Seminole St, Springfield, MO 65804 2009-06-01
1801076369 Springfield Spine & Sport, Inc. Physical Medicine & Rehabilitation 4960 Middle Urbana Rd, Springfield, OH 45503-6040 2007-11-13
1790987576 Rheumatology Associates PC Physical Medicine & Rehabilitation 3377 Main St, Springfield, MA 01107-1111 2007-06-04
1013956523 Frank J Bender IIi Physical Medicine & Rehabilitation 1301 S Koke Mill Rd, Springfield, IL 62711-9252 2006-06-06

Providers in the same taxonomy and state

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1376007757 Jose Angel Munoz Jr. Physical Medicine & Rehabilitation 5035 W Parker Ave, Chicago, IL 60639-1603 2019-01-30
1770050668 Prarie State Rehabilitation, LLC Physical Medicine & Rehabilitation 12220 S Cheyenne Dr, Palos Heights, IL 60463-1654 2018-10-29
1053806406 Naperville Rehab and Medical Clinic PC Physical Medicine & Rehabilitation 445 Jackson Ave Ste 102, Naperville, IL 60540-5257 2018-06-28
1457711418 Elite Pain Medical Group Inc Physical Medicine & Rehabilitation 720 South Brom Drive, Suite 201, Naperville, IL 60540 2016-03-03
1992123004 Bhavana Vaidya Md LLC Physical Medicine & Rehabilitation 10601 S Kilbourn Ave, Oak Lawn, IL 60453-5341 2014-04-04
1275966418 Restorative Health Center Sc Physical Medicine & Rehabilitation 430 Barron Blvd, Grayslake, IL 60030-1666 2013-08-12
1629315312 Chinatown Integrated Medicine Ltd Physical Medicine & Rehabilitation 2134b S Archer Ave Fl 2, Chicago, IL 60616-1514 2013-01-15
1760735377 Suburban Medical & Rehab Clinic, Ltd Physical Medicine & Rehabilitation 269 S Roselle Rd, Schaumburg, IL 60193-1636 2012-10-19
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Competitor

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City SPRINGFIELD
Zip Code 62711

Improve Information

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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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