WILSON T WATANABE (NPI# 1891768388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891768388 |
| Entity Type | Individual |
| Full Name | WILSON T WATANABE |
| Credential | MD |
| Practice Address |
10300 W Charleston Blvd Ste 13-342 Las Vegas NV 89135-1037 |
| Mailing Address |
Po Box 371353 Las Vegas NV 89137-1353 |
| Practice Telephone | 7022339222 |
| Practice Fax Number | 7028041349 |
| Mailing Telephone | 7022339222 |
| Mailing Fax Number | 7028041349 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11156 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
11156 | NV | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
11156 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144417 | Wilson Tatsuo Watanabe | Orthopaedic Surgery | 122 Chester Park Cir, Chesterfield, SC 29709-1009 | 2012-05-01 |
| Street Address |
10300 W CHARLESTON BLVD STE 13-342 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89135-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255301453 | Joan D Brookhyser | Internal Medicine | 10300 W Charleston Blvd Ste 13-342, Las Vegas, NV 89135-1037 | 2006-01-23 |
| 1316173891 | Western Critical Care Associates | Internal Medicine | 10300 W Charleston Blvd Ste 13-342, Las Vegas, NV 89135-1037 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
| 1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
| 1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
| 1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
| 1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
| 1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
| 1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
| 1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| 1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
| Find all providers in zip 89135 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467821264 | Landers Intensive Care Services, Ltd | Internal Medicine | 2879 Geary Pl Unit 2811, Las Vegas, NV 89109-0218 | 2015-09-22 |
| 1629397690 | Pedro P Hani Md PC | Internal Medicine | 8255 Las Vegas Blvd S, Unit 1719, Las Vegas, NV 89123-1064 | 2010-05-28 |
| 1013114487 | David Steiger | Internal Medicine | 2000 Goldring Ave, Las Vegas, NV 89106-4006 | 2007-06-29 |
| 1033164009 | Hidenobu Shigemitsu | Internal Medicine | 1707 W. Charleston Blvd, #220, Las Vegas, NV 89102 | 2006-05-24 |
| 1316996721 | Charles D Mcpherson | Internal Medicine | 3121 South Maryland Pkwy, Ste 502, Las Vegas, NV 89148 | 2006-05-10 |
| 1558310656 | James S.j. Hsu | Internal Medicine | 9280 West Sunset Rd, # 312, Las Vegas, NV 89148 | 2006-05-08 |
| 1184693962 | Sharon Brenda Landers | Internal Medicine | 1555 E Flamingo Rd, Las Vegas, NV 89119-5261 | 2006-03-15 |
| 1437147295 | Joaquim S Tavares | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2005-10-06 |
| 1093157836 | Karan Gupta | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2013-07-22 |
| 1407290968 | Michael John Gale | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 | 2013-04-26 |
| Find all providers in LAS VEGAS | ||||
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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.