DOVE D WATKIN (NPI# 1629069778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629069778 |
| Entity Type | Individual |
| Full Name | DOVE D WATKIN |
| Credential | MD |
| Practice Address |
1900 Centracare Cir Saint Cloud MN 56303-5000 |
| Practice Telephone | 3206543630 |
| Practice Fax Number | 3206543657 |
| Mailing Telephone | 3206543630 |
| Mailing Fax Number | 3206543657 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37923 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| U CARE | 151800 | 01 | |
| FIRST HEALTH PLAN | 2129266 | 01 | |
| MN | 575522100 | 05 | |
| CHAMPUS | COMP | 01 | |
| ONE HEALTH PLAN GREAT WES | COMP | 01 | |
| PREFERRED ONE | 1027103 | 01 | |
| ARAZ GROUP AMERICAS PPO | 3900974 | 01 | |
| BLUE CROSS BLUE SHIELD | 40F76WA | 01 | |
| HEALTH PARTNERS | HP23202 | 01 | |
| MMSI | COMP | 01 | |
| MEDICA HEALTH PLANS | 1256322 | 01 |
| Street Address |
1900 CENTRACARE CIR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858020 | Centracare Clinic | Clinic/Center | 1900 Centracare Cir, Centracare Clinic Health Plaza, Saint Cloud, MN 56303-5000 | 2005-08-12 |
| 1245845007 | Kayla Bolland-hillesheim | Counselor | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2020-09-09 |
| 1255976387 | Victoria Sybilla Hadley | Nurse Practitioner | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-13 |
| 1952945560 | Amanda Rae Schwartz | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-06 |
| 1467095166 | Cameron Svihla | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-25 |
| 1912540188 | Zoe Boehmer | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-21 |
| 1669033429 | Haley Vonbank | Physical Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-06-24 |
| 1396302741 | Karen Ann Reisdorf | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-05-21 |
| 1316500648 | Carrilyn Bechtold | Occupational Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-04-22 |
| 1770049066 | Clinton James Billhorn | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679724272 | Hala Abouelmagd | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2008-10-02 |
| 1093859654 | Leslie Jean Mortland | Pediatrics | 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric and Adolescent, Saint Cloud, MN 56303-5000 | 2007-02-16 |
| 1679564728 | Weining Hu | Pediatrics | 1511 Northway Dr Ste 201, Saint Cloud, MN 56303-1276 | 2005-10-28 |
| 1942816533 | St. Cloud Pediatrics LLC | Pediatrics | 1511 Northway Dr Ste 201, Saint Cloud, MN 56303-1276 | 2020-09-18 |
| 1457826471 | Monica Ester Lee | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2018-10-05 |
| 1487191664 | Shauna Mullings | Pediatrics | 1900 Centracare Circle #1300, Centracare Clinic Pediatric/adolescent Medicine, Saint Cloud, MN 56303-5000 | 2017-01-25 |
| 1205280047 | Nathan Charles Messbarger | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2016-04-18 |
| 1427432590 | Tots & Teens Pediatrics, LLC | Pediatrics | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2015-07-17 |
| 1982084976 | Kelsey Jackson | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303 | 2015-06-04 |
| 1548680937 | Nicholas Ryan | Pediatrics | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2014-04-24 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.