DR. RANDY CHARLES WATSON (NPI# 1487653655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653655 |
| Entity Type | Individual |
| Full Name | DR. RANDY CHARLES WATSON |
| Credential | MD |
| Practice Address |
212 Elks Point Road Suite 200 Zephyr Cove NV 89448 |
| Mailing Address |
Po Box 11889 Zephyr Cove NV 89448-3889 |
| Practice Telephone | 7755883636 |
| Practice Fax Number | 7755881299 |
| Mailing Telephone | 7755883636 |
| Mailing Fax Number | 7755881299 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
3188 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2003284 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737005 | Randy D Watson | Internal Medicine | 333 Se 7th Ave., Suite 5200, Hillsboro, OR 97123-4182 | 2005-08-11 |
| 1396991824 | Randy Watson | Physician Assistant | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2008-08-15 |
| Street Address |
212 ELKS POINT ROAD SUITE 200 |
| City | ZEPHYR COVE |
| State | NV |
| Zip Code | 89448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823601 | Ascend Medical, Inc | Durable Medical Equipment & Medical Supplies | 195 Us Hwy 50, 201, Zephyr Cove, NV 89448 | 2017-07-14 |
| 1306153051 | St & T Research | Specialist | 88 Mcfaul Way, Zephyr Cove, NV 89448 | 2010-09-01 |
| 1578776266 | Jack L. Harrington | Dentist | 3790 Highway 395, Sutie 103, Carson City, NV 89448 | 2007-05-08 |
| 1356476527 | Elizabeth Erin Eisenlohr | Marriage & Family Therapist | 310 Dorla Ct, Suite 212, Zephyr Cove, NV 89448 | 2007-02-21 |
| 1184732729 | Robert R Sanfilippo | Counselor | 310 Dorla Court, Suite 201, Zephyr Cove, NV 89448 | 2006-08-25 |
| 1902834674 | Jason Ryan Doucette | Dentist | 120 Mcfaul Way, Zephyr Cove, NV 89448 | 2006-06-29 |
| 1821264896 | Scott Maxmillian Forvilly | Dentist | 120 Mcfaul Way, Zephyr Cove, NV 89448 | 2008-04-30 |
| 1801929534 | Diana L. Brown | Marriage & Family Therapist | 310 Dorla Court, Suite 201, Zephyr Cove, NV 89448 | 2007-03-13 |
| 1154493427 | Chad Edward Maclachlan | Orthopaedic Surgery | 212 Elks Point Rd, Suite 200, Zephyr Cove, NV 89448 | 2006-11-14 |
| 1073684908 | Tahoe-douglas Fire Protection District | Ambulance | 193 Elks Point Rd, Zephyr Cove, NV 89448-0919 | 2006-11-13 |
| Find all providers in zip 89448 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330312 | Keith Robert Swanson | Orthopaedic Surgery | 212 Elks Point Rd, Ste 200, Zephyr Cove, NV 89448-8001 | 2005-07-20 |
| 1558360628 | Robert Edward Rupp | Orthopaedic Surgery | 212 Elks Point Rd, Ste 200, Zephyr Cove, NV 89448-8001 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003053828 | William Ralston Mcgee II | Orthopaedic Surgery | 10105 Banburry Cross Dr, # 445, Las Vegas, NV 89144-6646 | 2009-01-15 |
| 1841449345 | Matthew M Ragsdell Do PC | Orthopaedic Surgery | 1681 W Horizon Ridge Pkwy, Henderson, NV 89012-3494 | 2008-09-09 |
| 1659583375 | Chad Michael Hanson | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2007-05-04 |
| 1750502134 | Capitol Orthopedics and Sports Medicine | Orthopaedic Surgery | 755 N Roop St, Number 101, Carson City, NV 89701-3106 | 2007-05-01 |
| 1487788873 | Crovetti Bone and Joint Institute of Southern Nevada | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy, Ste. 200, Henderson, NV 89052-4380 | 2007-03-15 |
| 1598804130 | Desert Mountain Orthopaedic & Sports Medicine | Orthopaedic Surgery | 1301 Bertha Howe Ave, 11, Mesquite, NV 89027-7502 | 2007-02-06 |
| 1780625525 | Roger Rogalski Md Chtd | Orthopaedic Surgery | 2874 N Carson St, #105, Carson City, NV 89706-0177 | 2006-06-10 |
| 1306898119 | Matthew Nolan Fouse | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2006-05-17 |
| 1538123492 | Kyle Edward Swanson | Orthopaedic Surgery | 935 Mica Dr Ste 13, Carson City, NV 89705-7181 | 2006-04-17 |
| 1144208455 | Michael Miao | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2006-01-06 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYR COVE |
| Zip Code | 89448 |
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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.