Derek P Watson (NPI# 1255524435, PAC ID# 4587739313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1255524435 |
| PAC ID by PECOS | 4587739313 |
| Professional Enrollment ID | I20080813000632 |
| Full Name | Derek P Watson |
| Organization Legal Name | ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A. |
| Address |
11200 Governor Manly Way Suite 309 Raleigh NC 27614-7375 |
| Phone Number | 9195629410 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7810974375 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340114 | REX HOSPITAL |
| 340132 | MARIA PARHAM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-7375 | 9195629410 | ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A. |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul B Suh | Orthopedic Surgery | Orthopaedic Specialists of North Carolina, P.a. | 200 Parkview E Dr B, Henderson, NC 27536-3179 |
| George Dale Veasy | Orthopedic Surgery | Orthopaedic Specialists of North Carolina, P.a. | 103 Professional Park A, Oxford, NC 27565-2581 |
| Madeleine Rebecca Breen | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Elizabeth Surovec Williams | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Edgar X Correa | Podiatry | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Clifford Robert Wheeless Iii | Orthopedic Surgery | Orthopaedic Specialists of North Carolina, P.a. | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-7375 |
| Kendra Rae Potter | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Lauren Wells Queen | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-7375 |
| Tristin R Valdivia | Nurse Practitioner | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Austin Gregory Beard | Physical Therapy | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Street Address |
11200 GOVERNOR MANLY WAY SUITE 309 |
| City | RALEIGH |
| State | NC |
| Zip | 27614-7375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Hinckley | Clinical Social Worker | Unc Physicians Network LLC | 11200 Governor Manly Way, Suite 205, Raleigh, NC 27614-7367 |
| Clifford Robert Wheeless Iii | Orthopedic Surgery | Orthopaedic Specialists of North Carolina, P.a. | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-7375 |
| Lauren Wells Queen | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-7375 |
| Rachael B Hollifield | Family Medicine | Unc Physicians Network LLC | 11200 Governor Manly Way, Suite 205, Raleigh, NC 27614-7367 |
| Courtney J Barrett | Internal Medicine | Unc Physicians Network LLC | 11200 Governor Manly Way, Suite 205, Raleigh, NC 27614-7367 |
| Amanda J Watkins | Nurse Practitioner | Unc Physicians Network LLC | 11200 Governor Manly Way, Suite 205, Raleigh, NC 27614-7367 |
| Pamela Bowden Brisson | Physical Therapy | Orthopaedic Specialists of North Carolina, P.a. | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-7375 |
| Amy J Shipley | Family Medicine | Unc Physicians Network LLC | 11200 Governor Manly Way, Suite 205, Raleigh, NC 27614-7367 |
| Krysta Cosentino Holterman | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-7375 |
| Kelli Cheree Pitt | Internal Medicine | Unc Physicians Network LLC | 11200 Governor Manly Way, Suite 205, Raleigh, NC 27614-7367 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saranne N Lentz-barker | Qualified Audiologist | Physicians Hearing Services LLC | 10320 Durant Rd, Suite 107, Raleigh, NC 27614-6466 |
| Sheri A Mello | Qualified Audiologist | Physicians Hearing Services LLC | 10320 Durant Rd, Suite 107, Raleigh, NC 27614-6466 |
| Stephanie Griffin | Optometry | 10224 Durant Rd, Suite 101, Raleigh, NC 27614-6468 | |
| Lisa M Roberts | Obstetrics/gynecology | Gynecology and Laparoscopic Surgeons, PC | 10941 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6487 |
| Elizabeth C Roede Barbee | Obstetrics/gynecology | Gynecology and Laparoscopic Surgeons, PC | 10941 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6487 |
| Tammy L Hilbert | Obstetrics/gynecology | Gynecology and Laparoscopic Surgeons, PC | 10941 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6487 |
| Jane S Smith | Vascular Surgery | 10224 Durant Rd, Suite 109, Raleigh, NC 27614-6497 | |
| William Randall Murray | Chiropractic | 10931 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6499 | |
| Reza J Hatefi | Physician Assistant | Select Medical Services, Pllc | 10931 Raven Ridge Rd, Suite 115, Raleigh, NC 27614-6499 |
| Audrey Faye Echt | Dermatology | Audrey F Echt Md Pa | 10931 Raven Ridge Rd, Suite 101, Raleigh, NC 27614-6499 |
| Find all physicians in zip 27614 | |||
| City | RALEIGH |
| Zip Code | 27614 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | RALEIGH + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Derek P Watson.
| 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.