Tim J Watt (NPI# 1477512762, PAC ID# 3577459270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1477512762 |
| PAC ID by PECOS | 3577459270 |
| Professional Enrollment ID | I20040505000225 |
| Full Name | Tim J Watt |
| Organization Legal Name | NEUROSURGICAL AND SPINAL SURGERY ASSOCIATES PC |
| Address |
407 S Medical Arts Ct Suite D Gillette WY 82716-3372 |
| Phone Number | 6053412424 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6002718251 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430091 | BLACK HILLS SURGICAL HOSPITAL LLP |
| 351300 | TIOGA MEDICAL CENTER |
| 281341 | CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES |
| 431323 | REGIONAL HEALTH CUSTER HOSPITAL |
| 351334 | CHI ST ALEXIUS HEALTH WILLISTON |
| Address | Phone | Organization |
|---|---|---|
| 407 S Medical Arts Ct, Suite D, Gillette, WY 82716-3372 | 6053412424 | NEUROSURGICAL AND SPINAL SURGERY ASSOCIATES PC |
| 4141 5th St, Rapid City, SD 57701-6021 | 6053412424 | NEUROSURGICAL AND SPINAL SURGERY ASSOCIATES PC |
| 310 Airport Rd, Suite 2000, Williston, ND 58801-2959 | 8002535876 | NEUROSURGICAL AND SPINAL SURGERY ASSOCIATES PC |
| Organization Legal Name | NEUROSURGICAL AND SPINAL SURGERY ASSOCIATES PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elke E Kopriva | Physical Therapy | Neurosurgical and Spinal Surgery Associates PC | 4141 5th St, Rapid City, SD 57701-6021 |
| James W Richards | Physician Assistant | Neurosurgical and Spinal Surgery Associates PC | 310 Airport Rd, Suite 2000, Williston, ND 58801-2959 |
| Stuart G Rice | Neurosurgery | Neurosurgical and Spinal Surgery Associates PC | 745 State Ave, Suite A, Dickinson, ND 58601-4661 |
| Myron P Sorestad | Physical Therapy | Neurosurgical and Spinal Surgery Associates PC | 741 Mt View Rd, Suite A2, Rapid City, SD 57702-2540 |
| Philip L Busching | Physical Therapy | Neurosurgical and Spinal Surgery Associates PC | 4141 5th St, Rapid City, SD 57701-6021 |
| Geoffrey P Bonar | Physical Therapy | Neurosurgical and Spinal Surgery Associates PC | 4141 5th St, Rapid City, SD 57701-6021 |
| Robert D Maclachlan | Neurology | Neurosurgical and Spinal Surgery Associates PC | 2101 Box Butte Ave, Alliance, NE 69301-4445 |
| Ian T Kopriva | Physical Therapy | Neurosurgical and Spinal Surgery Associates PC | 4141 5th St, Rapid City, SD 57701-6021 |
| Kyle L Scharles | Physical Therapy | Neurosurgical and Spinal Surgery Associates PC | 741 Mt View Rd, Suite A2, Rapid City, SD 57702-2540 |
| Amber V Staedtler | Nurse Practitioner | Neurosurgical and Spinal Surgery Associates PC | 4141 5th St, Rapid City, SD 57701-6021 |
| Street Address |
407 S MEDICAL ARTS CT SUITE D |
| City | GILLETTE |
| State | WY |
| Zip | 82716-3372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Davis | Otolaryngology | 407 S Medical Arts Ct, Suite C, Gillette, WY 82716-3372 | |
| Kirtikumar L Patel | Internal Medicine | 407 S Medical Arts Ct, Suite D, Gillette, WY 82716-3372 | |
| Ian R Swift | Otolaryngology | Wyo Ent PC | 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 |
| Valerie B Amstadt | Physician Assistant | Wyo Ent PC | 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua R Popkin | Clinical Psychologist | 3412 Crestline Cir, Gillette, WY 82716-2206 | |
| Jennifer J Thomas | Family Medicine | 1206 W 4th St, Suite 3, Gillette, WY 82716-3300 | |
| Lori E Mckinsey | Nurse Practitioner | 1206 W 4th St, Suite 2, Gillette, WY 82716-3300 | |
| James H Price | Anesthesiology | Gillette Anesthesia Specialists Wyoming | 1402 W 14th St, Gillette, WY 82716-3328 |
| Amber R Cohn | Obstetrics/gynecology | Summit Ob Gyn PC | 1414 W 4th St, Gillette, WY 82716-3328 |
| David A Beck | Obstetrics/gynecology | Womens Healthcare PC | 1402 W 4th St, Gillette, WY 82716-3328 |
| Leah M Albrecht | Nurse Practitioner | Womens Healthcare PC | 1402 W 4th St, Gillette, WY 82716-3328 |
| Courtney K Goodnough | Nurse Practitioner | Summit Ob Gyn PC | 1414 W 4th St, Gillette, WY 82716-3328 |
| Jeanne Louise Peterson | Certified Nurse Midwife (cnm) | Summit Ob Gyn PC | 1414 W 4th St, Gillette, WY 82716-3328 |
| Rodney C Biggs | General Surgery | 1414 W 4th St, Gillette, WY 82716-3328 | |
| Find all physicians in zip 82716 | |||
| City | GILLETTE |
| Zip Code | 82716 |
| Specialty | NEUROLOGY |
| City + Specialty | GILLETTE + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.