DAVID O WATTS (NPI# 1871652586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871652586 |
| Entity Type | Individual |
| Full Name | DAVID O WATTS |
| Credential | CST SFA |
| Practice Address |
1023 New Moody Ln Suite 102 La Grange KY 40031-9177 |
| Mailing Address |
Po Box 950248 Louisville KY 40295-0248 |
| Practice Telephone | 5022220598 |
| Practice Fax Number | 5022227446 |
| Mailing Telephone | 5024895730 |
| Mailing Fax Number | 5024895753 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA067 | KY | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
90544 | KY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000210309 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1063638518 | David L. Watts | Social Worker | 1305 W 80th St, Cleveland, OH 44102-6204 | 2007-04-17 |
| 1407822760 | David John Watts | Emergency Medicine | 220 Campus Blvd, Winchester, VA 22601-2888 | 2006-02-27 |
| 1538728647 | David Watts | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-06-12 |
| 1750839098 | David Watts | Counselor | 800 Cummings Ctr, Suite 266t, Beverly, MA 01915-6175 | 2016-09-15 |
| 1407279359 | David I.a. Watts | Registered Nurse | 1430 Collier St, Austin, TX 78704-2911 | 2014-01-29 |
| 1295090355 | David Carling Watts | Emergency Medicine | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2012-07-05 |
| 1346520988 | David E Watts | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2011-08-26 |
| 1538390877 | David Leon Watts | Pharmacist | 112 E Main St, Halls, TN 38040-1523 | 2009-08-04 |
| 1891833174 | David Chester Watts | Anesthesiology | 531 Roselane St Nw, Suite 750, Marietta, GA 30060-6913 | 2007-02-01 |
| Street Address |
1023 NEW MOODY LN SUITE 102 |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-9177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270018 | Paige Primary Care Center | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2006-05-11 |
| 1619221884 | Sarah Elizabeth Clark | Nurse Practitioner | 1023 New Moody Ln, Suite 102, La Grange, KY 40031 | 2012-11-09 |
| 1760749956 | First Urology, Psc | Nurse Practitioner | 1023 New Moody Ln, Suite 202, La Grange, KY 40031-9177 | 2012-04-12 |
| 1033484498 | Sarah Thayer | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2012-03-19 |
| 1174837637 | Jamie C. Hubbard | Specialist/Technologist, Other | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2010-07-27 |
| 1215268701 | Kristi Leigh Tingle | Nurse Practitioner | 1023 New Moody Ln, Ste 103, La Grange, KY 40031-9177 | 2010-01-22 |
| 1881920759 | Shiela Rhoads, M.d., Pllc | Internal Medicine | 1023 New Moody Ln, Suite 202 A, La Grange, KY 40031-9177 | 2009-10-27 |
| 1023217197 | Bluegrass Orthopedic Group Psc | Specialist | 1023 New Moody Ln, Ste 102, La Grange, KY 40031-9177 | 2007-07-17 |
| 1558564633 | Nicholas Allen Kenney | Orthopaedic Surgery | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2007-06-07 |
| 1235270448 | Robin Grant Kindig | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380451 | Julia A Seward | Specialist/Technologist, Other | 1023 New Moody Ln Ste 102, La Grange, KY 40031-9183 | 2020-09-09 |
| 1174837637 | Jamie C. Hubbard | Specialist/Technologist, Other | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2010-07-27 |
| 1821137019 | Sheila F. Slone | Specialist/Technologist, Other | 1025 New Moody Ln, La Grange, KY 40031-9154 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518506567 | Jennifer Catherine Samargo | Specialist/Technologist, Other | 4617 Andalusia Ln, Louisville, KY 40272-3301 | 2019-12-22 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1134699838 | Javier Jesus Suarez Rivera | Specialist/Technologist, Other | 3607 Fountain Dr Apt 2, Louisville, KY 40218-2559 | 2018-11-26 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1508307950 | Shelley Elizabeth Jones | Specialist/Technologist, Other | 3242 Holland Rd, Scottsville, KY 42164-9102 | 2017-03-18 |
| 1982143855 | Sherry L Wells | Specialist/Technologist, Other | 3260 Spring Hollow Ave Apt 1, Bowling Green, KY 42104-6371 | 2017-02-13 |
| 1316300312 | George W Terry Jr. | Specialist/Technologist, Other | 934 Siesta Dr, Richmond, KY 40475-3406 | 2016-03-29 |
| 1144691650 | Gregory Tyler Mann | Specialist/Technologist, Other | 200 Liberty Hill Dr, Columbia, KY 42728-9215 | 2015-10-09 |
| 1427432020 | Kimberly Thompson | Specialist/Technologist, Other | 1520 Martin Pierce Rd, Cub Run, KY 42729-7679 | 2015-07-13 |
| 1770960627 | Aaron Morris | Specialist/Technologist, Other | 1725 Ashley Cir Ste 212, Bowling Green, KY 42104-5820 | 2015-04-29 |
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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.