PHILIP DEAN WATSON


Address: 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4133
Phone: 9184531234

PHILIP DEAN WATSON (NPI# 1730227299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730227299
Entity Type Individual
Full Name PHILIP DEAN WATSON
Credential PA
Practice Address 1203 E Ross Byp
Suite A
Tahlequah
OK 74464-4133
Practice Telephone 9184531234
Practice Fax Number 9184539107
Mailing Telephone 9184531234
Mailing Fax Number 9184539107
Enumeration Date 2007-02-04
Last Update Date 2013-08-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1463 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200070490 A 05
OK 200129810A 05

Other Providers PHILIP WATSON

NPI Name Taxonomy Address Enumeration
1336548213 Philip Edwin Watson Specialist/Technologist 1255 Hempstead Tpke, New York Islanders, Uniondale, NY 11553-1260 2014-08-18
1932561677 Philip Watson Clinical Neuropsychologist 7559 263rd St, Glen Oaks, NY 11004-1150 2016-03-22
1558368308 Philip Dean Watson Internal Medicine 520 S 7th St, Vincennes, IN 47591-1038 2005-07-07

Office Location

Street Address 1203 E ROSS BYP
SUITE A
City TAHLEQUAH
State OK
Zip Code 74464-4133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700875598 Lori Lyn Enlow Nurse Practitioner 1203 E Ross Byp, Suite A, Tahlequah, OK 74464 2005-10-14
1073164125 Northeastern Oklahoma Community Health Centers, Inc. Clinic/Center 1203 E Ross Byp, Tahlequah, OK 74464-4133 2019-09-20
1023311438 Osu Center for Health Sciences Clinic/Center 1203 E Ross Byp, Suite 1a, Tahlequah, OK 74464-4133 2010-12-08
1649584855 Lea Sarah Humphrey Otolaryngology 1203 E Ross Byp, Tahlequah, OK 74464-4133 2010-07-29
1316258619 Osu Center for Health Sciences Clinic/Center 1203 E Ross Byp, Tahlequah, OK 74464-4133 2010-07-01
1659568301 Cmg Family Clinic LLC Family Medicine 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4133 2007-09-26
1720274699 Tracey W. Childers, D.o. P.C. Otolaryngology 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4188 2007-09-24
1568412310 Susan K Anderson Otolaryngology 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4133 2006-05-11
1053371021 Tracey Way Childers Otolaryngology 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4188 2006-03-24
1114909843 Andrea D Mitchell Physician Assistant 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4133 2005-11-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184253403 Kendall Harris Student in an Organized Health Care Education/Training Program 100 Bliss Ave, Tahlequah, OK 74464 2020-04-07
1528609302 Norma Brightly Technician 103 Sequoyah, Tahlequah, OK 74464 2019-10-03
1073175832 Jody Lynn Dallis Case Manager/Care Coordinator Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 2019-07-02
1184287849 Perry Jake Proctor Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 2019-04-18
1336657279 Sidney Sheyenne Kimble Case Manager/Care Coordinator 1429 Jack Brown Lane, Tahlequah, OK 74464 2018-01-12
1891225686 Nichols Bradley Alberty Orthotist 1294 East Downing, Suite 3, Tahlequah, OK 74464 2017-06-14
1922549690 Krystal Easter Ms, Lpc Counselor 2201 Oakridge Dr, Tahlequah, OK 74464 2017-03-15
1144777319 Northeastern Oklahoma Community Health Centers, Inc. Clinic/Center 529 N. Oak St., Tahlequah, OK 74464 2016-09-06
1548713456 Clement Isioma Nwadozi Optometrist 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 2016-07-27
1033532635 Wesley Gragg Specialist/Technologist 603 North Grand Avenue, Tahlequah, OK 74464 2014-02-03
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194715730 Sean M Scearce Physician Assistant 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4133 2005-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790392868 James Scott Turner Physician Assistant 924 Nw 14th St, Moore, OK 73160-1610 2020-09-23
1386283679 Cody Rice Chambers Physician Assistant 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 2020-01-03
1073154647 Haley Nicole Beaird Physician Assistant 8907 E 93rd St, Tulsa, OK 74133-5634 2019-10-03
1568920924 Direct2u Urgent Care Pllc Physician Assistant 2417 County Road 1263, Blanchard, OK 73010-3123 2019-03-05
1538625660 Symachia LLC Physician Assistant 115 N. Main St., Cashion, OK 73106 2019-02-13
1982172029 William Landon Ross Physician Assistant 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 2018-11-07
1639646656 Jacob Allbritton Physician Assistant 10824 Admiral Dr, Oklahoma City, OK 73162-6843 2018-10-29
1316420086 Lauren Anto Physician Assistant 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 2018-09-10
1073004768 Shelby Teel Physician Assistant 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 2018-05-29
1093240749 Green's Country Clinic, LLC Physician Assistant 223 E Blackwell Ave, Blackwell, OK 74631-2909 2017-05-01
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Competitor

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City TAHLEQUAH
Zip Code 74464

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Dataset Information

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.

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