TIMOTHY WATSON (NPI# 1649253295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649253295 |
| Entity Type | Individual |
| Full Name | TIMOTHY WATSON |
| Credential | MD |
| Practice Address |
1630 E Herndon Ave Fresno CA 93720-3305 |
| Practice Telephone | 5592565200 |
| Practice Fax Number | 5592565376 |
| Mailing Telephone | 5592565200 |
| Mailing Fax Number | 5592565376 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
G54436 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF WASHINGTON | 0170233 | 01 |
| CA | RAILROAD MEDICARE | P00005381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740718063 | Timothy Erick Watson | Counselor | 2501 Parkview Dr Ste 312, Fort Worth, TX 76102-5815 | 2017-05-31 |
| 1003285461 | Timothy R Watson | Nurse Practitioner | Acute Care and Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 | 2015-09-16 |
| 1154748390 | Timothy Watson | Psychologist | 800 N Sandusky Ave, Upper Sandusky, OH 43351-1032 | 2014-03-26 |
| 1730114968 | Timothy Watson | Pediatrics | 6926 Brockton Ave Ste 6, Riverside, CA 92506-3804 | 2006-07-12 |
| 1083656144 | Timothy Lee Watson II | Physician Assistant | 703 Ritter Dr, Glen Morgan, WV 25813-7709 | 2006-06-12 |
| 1922181866 | Timothy Doyle Watson | Radiology | 760 Broadway, Department of Radiology, Brooklyn, NY 11206 | 2006-10-23 |
| 1780639229 | Timothy B Watson | Anesthesiology | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2006-05-23 |
| Street Address |
1630 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403442 | Jerome R Dunklin | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-03 |
| 1932754488 | Alyssa Matoba | Physical Therapy Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2019-08-01 |
| 1518477348 | David A Kunz | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-10-06 |
| 1437699873 | Jennifer R Steger | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-03-05 |
| 1952841983 | Jennifer Maynez | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-02-23 |
| 1083062475 | Beau Kalmes | Family Medicine | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-05-26 |
| 1477907699 | Shari Matsuura | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-14 |
| 1134583578 | Sierra Pacific Orthopaedic Center | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-12 |
| 1679954747 | Samantha Payseno | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2015-06-15 |
| 1053714089 | Jennifer Ann Brough Wilson | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093004988 | Samia Abdul Ghaffar | Orthopaedic Surgery | 45 E River Park Pl W Ste 104, Fresno, CA 93720-1565 | 2011-03-31 |
| 1619018785 | Minimal Invasive Spine Specialist | Orthopaedic Surgery | 6137 N Thesta St, Fresno, CA 93710-8605 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| Find all providers with the same taxonomy | ||||
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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.