MR. EDWARD R WATSON (NPI# 1508232240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508232240 |
| Entity Type | Individual |
| Full Name | MR. EDWARD R WATSON |
| Credential | PA |
| Practice Address |
2530 S Telshor Blvd Ste 207 Las Cruces NM 88011-4975 |
| Mailing Address |
2530 S. Telshor Blvd. Suite 207 Las Cruces NM 88011 |
| Practice Telephone | 5755447280 |
| Mailing Telephone | 5756429096 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2016-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2015-0057 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366993438 | Edward George Watson Jr. | Social Worker | 25 Deforest Ave, Summit, NJ 07901-2140 | 2016-10-24 |
| 1972954493 | Edward Watson | Social Worker | 1225 Carlisle Street, Suite 3, Hanover, PA 17331-1207 | 2016-06-27 |
| 1528031804 | Edward J Watson | Obstetrics & Gynecology | 471 Montauk Ave, New London, CT 06320-4614 | 2006-02-08 |
| 1912900465 | Edward Arthur Watson | Dentist | 2001 Westcliff Dr Ste 202, Newport Beach, CA 92660-5552 | 2005-05-28 |
| 1598065450 | Edward Watson | Case Manager/Care Coordinator | 718 Alcoa Rd, Benton, AR 72015-3406 | 2010-10-26 |
| 1952522864 | Edward Ray Watson | Obstetrics & Gynecology | 6660 Sw 117th Ave, Miami, FL 33183-2826 | 2007-05-01 |
| 1013082247 | Edward Joseph Watson Jr. | Obstetrics & Gynecology | 1 Jarrett White Rd, Department of Ob-gyn, Tripler Army Medical Center, HI 96859-5001 | 2006-11-22 |
| Street Address |
2530 S TELSHOR BLVD STE 207 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1912952003 | Melanie Gantner | Physician Assistant | 540 Walton Blvd, Ste C, Las Cruces, NM 88001-8433 | 2006-05-24 |
| 1114385069 | Katelyn Przybyszewski | Physician Assistant | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-02-08 |
| 1164824306 | Rebecca Burrington | Physician Assistant | 3530 Foothills Rd, Las Cruces, NM 88011 | 2014-09-18 |
| 1346541448 | Robert Wayne Fakler Jr. | Physician Assistant | 4351 E Lohman Ave Ste 204, Las Cruces, NM 88011-8260 | 2010-11-05 |
| 1518935105 | Jilana Gladstone | Physician Assistant | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2006-03-09 |
| 1568455616 | Reagan R. Dunnahoo | Physician Assistant | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2005-08-24 |
| 1528064060 | Susan Faythe Gowing | Physician Assistant | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 1760771067 | Kristal Anguiano | Physician Assistant | 2010 Industrial Park Rd., El Centro Family Health, Espanola, NM 87532-3600 | 2011-04-07 |
| 1598065484 | Amber J Stoll | Physician Assistant | 303 West Country Club Rd., Roswell, NM 88201 | 2010-10-26 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on MR. EDWARD R 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.