MR. KENNETH LEE WATSON (NPI# 1699090993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699090993 |
Entity Type | Individual |
Full Name | MR. KENNETH LEE WATSON |
Practice Address |
15032 Poquessing Creek Ln Philadelphia PA 19116-1531 |
Practice Telephone | 2674466521 |
Mailing Telephone | 2674466521 |
Enumeration Date | 2010-03-30 |
Last Update Date | 2016-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | TEI002569 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 363A00000X | Physician Assistant | 25MP00409400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033241484 | Kenneth Lamont Watson | Counselor | 1423 Kirkwood Highway & Polly Drummond Rd, Suites 3304 &3305, Newark, DE 19701 | 2007-03-12 |
1114905221 | Kenneth R Watson | Pathology | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2006-01-09 |
1346227030 | Kenneth Ray Watson | Chiropractor | 3609 South Blvd., Suite B, Charlotte, NC 28209 | 2005-12-23 |
1063408565 | Kenneth R. Watson Jr. | Emergency Medicine | 3212 Scotts Blf, Norman, OK 73072-4873 | 2005-09-21 |
1316454002 | Kenneth Maxwell Watson | Nurse Anesthetist, Certified Registered | 777 Hemlock St, Macon, GA 31201-2102 | 2018-01-04 |
1841730538 | Kenneth Watson | Chiropractor | 7800 N Mopac Expy Ste 340, Austin, TX 78759-8962 | 2017-03-01 |
1790190122 | Kenneth Watson | Pharmacist | 310 Glades Rd, Berea, KY 40403-1355 | 2014-06-24 |
1174596068 | Kenneth W Watson | Nurse Anesthetist, Certified Registered | 902 N 7th St, Cordele, GA 31015 | 2006-02-10 |
Street Address |
15032 POQUESSING CREEK LN |
City | PHILADELPHIA |
State | PA |
Zip Code | 19116-1531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194334466 | Ambassador Home Care Services LLC | Homemaker | 118080 Bustleton Av, Suite 301, Philadelphia, PA 19116 | 2020-07-23 |
1669919445 | Lenore Pierce Bailey | Social Worker | 15100 Dahlia Drive, Philadelphia, PA 19116 | 2017-01-31 |
1477938991 | Jessica Gabriela Dashevsky | Counselor | 467 Parlin St, Philadelphia, PA 19116 | 2015-07-27 |
1174949697 | Absolute Therapy Care LLC | Physical Therapist | 10125 Verree Rd Ste 100, Philadelphia, PA 19116 | 2014-03-07 |
1790107936 | Philmont Homecare, LLC | Home Health | 14500 Bustleton Avenue, Suite 208, Philadelphia, PA 19116 | 2014-01-07 |
1417381609 | Able Ambulance Inc. | Ambulance | 1017 Haldeman Ave., Philadelphia, PA 19116 | 2013-08-25 |
1821356718 | Timur Kakhramanov | Nurse Practitioner | 301 W.byberry Rd, Unit F-6, Philadelphia, PA 19116 | 2012-04-27 |
1982975173 | Simon Perelshteyn | Internal Medicine | 10172 Verree Rd, Philadelphia, PA 19116 | 2012-01-19 |
1841574449 | Irene Feldman | Pharmacist | 10000 Busteloton Ave, Philadelphia, PA 19116 | 2011-10-03 |
1992095590 | Long Life Ambulance, LLC | Ambulance | 10065 Sandmeyer Lane, 103, Philadelphia, PA 19116 | 2011-04-15 |
Find all providers in zip 19116 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
1174122493 | Juliana Debnam | Physician Assistant | 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 | 2020-10-19 |
1457950867 | Kyllington Spotts | Physician Assistant | 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 | 2020-10-19 |
1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
1457977944 | Jiyean Yoo | Physician Assistant | 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 | 2020-06-19 |
1356987747 | Jennifer Rose Cueni | Physician Assistant | 2120 Brandywine St, Philadelphia, PA 19130-3107 | 2019-11-21 |
1730740408 | Olivia Anne Leventry | Physician Assistant | 109 Fairmount Ave, Philadelphia, PA 19123-3004 | 2019-06-24 |
1588136055 | Jefferson University Physcians | Physician Assistant | 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 | 2018-12-21 |
1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
1922589365 | Rachel Diane Simonsen | Physician Assistant | 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445 | 2018-08-23 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19116 |
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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.