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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1463 | OK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200070490 A | 05 | |
OK | 200129810A | 05 |
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 |
Street Address |
1203 E ROSS BYP SUITE A |
City | TAHLEQUAH |
State | OK |
Zip Code | 74464-4133 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 74464 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194715730 | Sean M Scearce | Physician Assistant | 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4133 | 2005-10-25 |
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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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.