John L Watters III, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

643 5TH Ave W
Hendersonville, NC 28739-4205

Phone

(828) 693-5225

NPI assigned

Mar 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Carolina Medical Assoc., Inc.

  • Clinic/Center
  • Hendersonville, NC
  • NPI 1215941679
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023079845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1820",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287931820",
            "telephone_number": "828-693-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394205",
            "telephone_number": "828-693-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138FV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Connor Ware, DDS
• Thomas Robert Warner, PHD
• Amanda B Wasserman, LCMHC
• Rosalyn Wasserman, LPT
• John G Watson, DC
• Matthew Wead
• Richard Madison Weaver, RPH
• Bob Lee Webb, M.D.
• Katherine Wilson Weber, LCMHC, LPC
• Maggie Jean Weber, PHARMD

• Family Medicine Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.