MR. MICHAEL WATSON (NPI# 1447669692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447669692 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WATSON |
| Credential | SF-IDC |
| Practice Address |
1713 County Road 717 Enterprise AL 36330-6105 |
| Practice Telephone | 3344478023 |
| Mailing Telephone | 3344478023 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351421 | Michael W Watson | Nurse Practitioner | 5250 Leetsdale Dr # 220, Denver, CO 80246-1438 | 2019-11-20 |
| 1104482041 | Michael Darrell Watson | Social Worker | 7401 Blackmon Rd Apt 1301, Columbus, GA 31909-4499 | 2019-05-16 |
| 1790259299 | Michael T Watson | Specialist/Technologist | 129 Westwood Dr, Brentwood, NY 11717-5715 | 2019-01-17 |
| 1881163335 | Michael Watson | Home Health Aide | 4126 Linden Ave # 101, Dayton, OH 45432-3018 | 2018-11-14 |
| 1881179307 | Michael Shannon Watson | Counselor | 409 Ruby Ridge Trl, Lyman, SC 29365-9580 | 2018-10-01 |
| 1023596335 | Michael Loren Watson | Licensed Vocational Nurse | 1110 Wigwam, Leander, TX 78641-2377 | 2018-07-31 |
| 1154817039 | Michael Watson | Technician | 604 46th Pl Se, Washington, DC 20019-7828 | 2018-07-03 |
| 1740639780 | Michael Alexander Watson | Peer Specialist | 6843 Nw Willow Springs Dr, 1211 Sw F Ave, Lawton, OK 73505-4251 | 2016-06-10 |
| 1124421359 | Michael Dallas Watson | Contractor | 12575 Us Highway 1, Ste 200, Juno Beach, FL 33408-2477 | 2014-10-02 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| Street Address |
1713 COUNTY ROAD 717 |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821348244 | Shreece Duanyelle Woods | Military Health Care Provider | 215 Harvison Rd, Chatom, AL 36518-6209 | 2012-09-13 |
| 1366729196 | Jasper Earl Gray Jr. | Military Health Care Provider | 3727 Weco St, Whistler, AL 36612-1155 | 2011-11-08 |
| 1598062069 | Billy Bell | Military Health Care Provider | 1138 Dock Lamb Rd, Pansey, AL 36370-6022 | 2011-02-18 |
| 1669772000 | Steven L Price | Military Health Care Provider | 5415 Earl St, Phenix City, AL 36867-7371 | 2010-11-02 |
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on MR. MICHAEL WATSON.
| 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.