NPIMap

Organization Active NPI

Hawkeye Medical Associates LLC

  • Surgery Physician
  • Ozark, AL
National Provider Identifier
1003534686
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HAWKEYE MEDICAL ASSOCIATES LLC
Practice address
2126 W Roy Parker Rd Ste 207
Ozark, AL 36360-8566
Phone
(334) 443-0160
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn Aisha Watts, MDNPI 1639358864
Title
Owner
Phone
(334) 443-0160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2126 W Roy Parker Rd Ste 207
Ozark, AL 36360-8566

Mailing address

PO Box 1464
Ozark, AL 36361-1464
Phone (334) 443-0160

National Provider Directory

National Provider Directory

Locations

2932 Ross Clark Cir
Dothan, AL 36301
Phone (334) 726-3413

2126 W Roy Parker Rd
Ste 207
Ozark, AL 36360
Phone (334) 443-0335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662163200000",
    "number": "1003534686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1464",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363611464",
            "telephone_number": "334-443-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W ROY PARKER RD STE 207",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363608566",
            "telephone_number": "334-443-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "AISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-443-0160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.