SAMUEL JACOB WATSON (NPI# 1881906022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881906022 |
| Entity Type | Individual |
| Full Name | SAMUEL JACOB WATSON |
| Credential | M.D. |
| Practice Address |
1640 Bryan Station Rd Ste 1 Lexington KY 40505-2144 |
| Mailing Address |
496 Southland Dr Lexington KY 40503-1827 |
| Practice Telephone | 8592882425 |
| Practice Fax Number | 8597213918 |
| Mailing Telephone | 8592882392 |
| Mailing Fax Number | 8597213918 |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 46559 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100253290 | 05 | |
| KY | KENTUCKY BOARD OF MEDICAL LICENSURE | 46559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568594042 | Samuel Stewart Watson | Social Worker | 160 S River St, Hackensack, NJ 07601-6925 | 2007-03-11 |
| 1396153904 | Samuel Montgomery Watson | Pharmacist | 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 | 2014-07-27 |
| 1588090583 | Samuel H Watson IIi | Nurse Practitioner | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695-6605 | 2013-09-23 |
| Street Address |
1640 BRYAN STATION RD STE 1 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40505-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986310 | Carol Mitchell | Internal Medicine | 1640 Bryan Station Rd Ste 1, Lexington, KY 40505-2144 | 2005-07-18 |
| 1366832289 | Healthfirst Bluegrass Inc | Clinic/Center | 1640 Bryan Station Rd Ste 1, Lexington, KY 40505-2144 | 2015-01-30 |
| 1720321292 | Justin Lane Adams | Internal Medicine | 1640 Bryan Station Rd Ste 1, Lexington, KY 40505-2144 | 2013-04-02 |
| 1609827872 | Priscilla Ann Lynd | Pediatrics | 1640 Bryan Station Rd Ste 1, Lexington, KY 40505-2144 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
| 1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
| 1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
| 1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
| 1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
| 1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
| 1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
| 1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
| Find all providers in zip 40505 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 1497117667 | Frances Michelle Curran | Pediatrics | 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 | 2016-03-25 |
| 1073995908 | John Stone | Pediatrics | Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 | 2015-06-27 |
| 1346621042 | Nina Azer Salfity | Pediatrics | 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 | 2015-06-18 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1235525957 | Carl Wayne Dowden | Pediatrics | 740 S Limestone Ste J201, Lexington, KY 40536-7001 | 2015-04-09 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1184030983 | Anna Caitlynn Iddings | Pediatrics | 800 Rose Street Mn118, Lexington, KY 40536-0001 | 2014-07-01 |
| Find all providers in LEXINGTON | ||||
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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.