Lisa M Watson (NPI# 1396206678, PAC ID# 8628308939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396206678 |
| PAC ID by PECOS | 8628308939 |
| Professional Enrollment ID | I20191001000277 |
| Full Name | Lisa M Watson |
| Organization Legal Name | STATCARE GROUP LLC |
| Address |
600 E Belvedere Ave Belvedere Baltimore MD 21212-3713 |
| Phone Number | 4102960118 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709893803 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 | 4102960118 | STATCARE GROUP LLC |
| 1730 Merritt Blvd, Dundalk, MD 21222-3212 | 4106504730 | STATCARE GROUP LLC |
| Organization Legal Name | STATCARE GROUP LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janee Monique White | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| Melissa B Newport | Physician Assistant | Statcare Group LLC | 1730 Merritt Blvd, Dundalk, MD 21222-3212 |
| Leslie J Mcjilton | Physician Assistant | Statcare Group LLC | 711 W 40th St, 173 Choiceone Urgent Care, Baltimore, MD 21211-2147 |
| Kathleen S Wrona | Physician Assistant | Statcare Group LLC | 14237 Jarrettsville Pike, Phoenix, MD 21131-1403 |
| Rebecca Gum | Nurse Practitioner | Statcare Group LLC | 711 W 40th St, 173 Choiceone Urgent Care, Baltimore, MD 21211-2147 |
| Nicholas Steven Bower | Family Medicine | Statcare Group LLC | 1730 Merritt Blvd, Dundalk, MD 21222-3212 |
| Alexis Anne Bautochka | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| Jacqueline R Runner | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| Chiemerie E. Uche | Nurse Practitioner | Statcare Group LLC | 711 W 40th St, 173 Choiceone Urgent Care, Baltimore, MD 21211-2147 |
| Nneka Bagwell | Nurse Practitioner | Statcare Group LLC | 10845 Town Ctr Blvd, Suite 108, Dunkirk, MD 20754-2712 |
| Street Address |
600 E BELVEDERE AVE BELVEDERE |
| City | BALTIMORE |
| State | MD |
| Zip | 21212-3713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janee Monique White | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| Alexis Anne Bautochka | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| Jacqueline R Runner | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| James Robert Dyson | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| Molly Rice | Nurse Practitioner | Statcare Group LLC | 600 E Belvedere Ave, Belvedere, Baltimore, MD 21212-3713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane Steinberg | Occupational Therapy | Fox Rehab Ot Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Nancy W Beasley | Qualified Speech Language Pathologist | Fox Rehab Slp Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Miriam Levson | Qualified Speech Language Pathologist | Fox Rehab Slp Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Emily Deal Clarke | Physical Therapy | Fox Rehab Pt Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Lydia Yvonne Bongiorni | Occupational Therapy | Fox Rehab Ot Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Karen Zimmerman | Qualified Speech Language Pathologist | Fox Rehab Slp Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Ronald Aliwalas | Physical Therapy | Fox Rehab Pt Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Cheska Ignacio Mendoza | Physical Therapy | Fox Rehab Pt Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Karen Zena B Pereira | Physical Therapy | Fox Rehab Pt Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Sarah Kugelman | Qualified Speech Language Pathologist | Fox Rehab Slp Md LLC | 6451 N Charles St, Baltimore, MD 21212-1010 |
| Find all physicians in zip 21212 | |||
| City | BALTIMORE |
| Zip Code | 21212 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BALTIMORE + NURSE PRACTITIONER |
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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.