Kenneth R Watson (NPI# 1114905221, PAC ID# 4789666090) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1114905221 |
| PAC ID by PECOS | 4789666090 |
| Professional Enrollment ID | I20040602000116 |
| Full Name | Kenneth R Watson |
| Organization Legal Name | MAWD PATHOLOGY GROUP PA |
| Address |
2800 Clay Edwards Dr Kansas City MO 64116-3220 |
| Phone Number | 8166912000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1977 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2668421389 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 | 8166912000 | MAWD PATHOLOGY GROUP PA |
| 2750 Clay Edwards Dr, Suite 420, N Kansas City, MO 64116-3258 | 8162413338 | MAWD PATHOLOGY PARTNERS PA |
| 9100 W 14th St, Shawnee Mission, KS 66204-4004 | 9136762000 | MAWD PATHOLOGY GROUP PA |
| 9119 W 74th St, Suite 218, Shawnee Mission, KS 66204-2214 | 8162413338 | MAWD PATHOLOGY PARTNERS PA |
| Organization Legal Name | MAWD PATHOLOGY GROUP PA |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy A Snell | Pathology | Mawd Pathology Group Pa | 4208 Sw Lee Blvd, Lawton, OK 73505-8331 |
| Jason Scott L Holly | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Robert S Strobach | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| David E Ewing | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| John M Pike | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Monisha N Dandekar | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Edgar Lee Hunt Jr. | Pathology | Mawd Pathology Group Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Ossama W Tawfik | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Jeremy J Parris | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Steven L Larue | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Street Address |
2800 CLAY EDWARDS DR |
| City | KANSAS CITY |
| State | MO |
| Zip | 64116-3220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas S Ham | Emergency Medicine | Midwest Emergency Medical Services PC | 2800 Clay Edwards Dr, N Kansas City, MO 64116-3220 |
| Jason Scott L Holly | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Bruce W Durkee | Anesthesiology | Northland Anesthesiology Inc | 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220 |
| Julia J Neperud | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Marci A Brecheisen | Diagnostic Radiology | Northland Radiology, Inc. | 2800 Clay Edwards Dr, Northland Radiology, N Kansas City, MO 64116-3220 |
| Todd J Zellmer | Certified Registered Nurse Anesthetist (crna) | Northland Anesthesiology Inc | 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220 |
| Robert S Strobach | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| David E Ewing | Pathology | Mawd Pathology Group Pa | 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 |
| Stephanie R Dilley | Certified Registered Nurse Anesthetist (crna) | Northland Anesthesiology Inc | 2800 Clay Edwards Dr, North Ks City Hosp, North Kansas City, MO 64116-3220 |
| Lancer M Gates | Hospitalist | Gates Hospitalists LLC | 2800 Clay Edwards Dr, Nkc Hospital, North Kansas City, MO 64116-3220 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Raymond Towle | Hand Surgery | 4444 N Belleview Ave, Suite 204, Kansas City, MO 64116-1507 | |
| Julian Romell Giles | Chiropractic | 4444 N Belleview Ave, Suite 104, Kansas City, MO 64116-1507 | |
| Amanda Lynne Munden | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Amy Callaway Carpenter | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Breanna Muniz | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Lori J Schwartz | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Patrick Gayle Jensen | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Rachel Beggs | Nurse Practitioner | Ivxpress Inc | 1201 Nw Briarcliff Pkwy, 125 Briarcliff, Kansas City, MO 64116-1774 |
| Kaitlyn R Demaree | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 4150 N Mulberrry Dr, Kansas City, MO 64116-1779 |
| Judith A Bickel | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Missouri Inc | 4150 N Mulberrry Dr, Kansas City, MO 64116-1779 |
| Find all physicians in zip 64116 | |||
| City | KANSAS CITY |
| Zip Code | 64116 |
| Specialty | PATHOLOGY |
| City + Specialty | KANSAS CITY + PATHOLOGY |
Please comment or provide details below to improve the information on Kenneth R 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.