JOHN RYAN WATKINS (NPI# 1679869614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679869614 |
| Entity Type | Individual |
| Full Name | JOHN RYAN WATKINS |
| Credential | M.D. |
| Practice Address |
777 N Palisades Dr Orem UT 84097-4341 |
| Mailing Address |
2100 Stantonsburg Rd Greenville NC 27834-2818 |
| Practice Telephone | 8012229200 |
| Practice Fax Number | 3852030079 |
| Mailing Telephone | 2527444184 |
| Mailing Fax Number | 2527444125 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2020-05-28 |
| NPI Deactivation Date | 01/22/2020 |
| NPI Reactivation Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 11573862-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851838726 | John Watkins | Psychologist | 429 Santa Monica Blvd Ste 200, Santa Monica, CA 90401-3408 | 2017-01-30 |
| 1487697355 | John F. Watkins | Internal Medicine | 407 N Coast Hwy Ste 200, Newport, OR 97365-3117 | 2006-06-14 |
| 1548535578 | John Watkins | Dentist | 227 S Brindlee Mountain Pkwy, Arab, AL 35016-1327 | 2012-03-08 |
| 1295850790 | John S Watkins | Physician Assistant | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-03-21 |
| 1679659338 | John Turner Watkins | Psychologist | 62 Lenox Pointe Ne Ste B, Atlanta, GA 30324-7410 | 2006-10-27 |
| 1558450841 | John Morgan Watkins | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-10-12 |
| 1780770628 | John Watkins | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2006-10-05 |
| 1790881712 | John Warren Watkins | Dentist | 3351 Plainview St, Suite 1a, Pasadena, TX 77504-1985 | 2006-09-16 |
| 1336151893 | John B Watkins | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-08-13 |
| 1528081353 | John Watkins | Internal Medicine | 2000 Crestwood Blvd, Suite 200, Irondale, AL 35210-2036 | 2006-07-25 |
| Street Address |
777 N PALISADES DR |
| City | OREM |
| State | UT |
| Zip Code | 84097-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912108242 | Cirque Lodge Inc. | Substance Abuse Rehabilitation Facility | 777 N Palisades Dr, Orem, UT 84097-4341 | 2007-05-31 |
| 1881903250 | Betty Howell Mcelroy | Psychiatry & Neurology | 777 N Palisades Dr, Orem, UT 84097-4341 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1154973576 | Koraima Morel Tirado | General Practice | 1035 W 190 S, Lehi, UT 84043-3833 | 2019-07-15 |
| 1841856986 | Northwestern Band of The Shoshone Nation Health & Human Services Dept. | General Practice | 241 W Forest St Ste A, Brigham City, UT 84302-2014 | 2019-05-14 |
| 1790297661 | The Bridge Recovery Center | General Practice | 98 N 6680 W, Hurricane, UT 84737-6138 | 2017-10-31 |
| 1790295947 | Low T Clinic, LLC | General Practice | 2150 N Main St Ste 10, North Logan, UT 84341-1740 | 2017-10-02 |
| 1104345636 | Coral Canyon Joint & Spine Health | General Practice | 83 S 2600 W Ste 102, Hurricane, UT 84737-3268 | 2017-09-15 |
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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.