Active NPI
Karen S. Watson MD SC
- Ambulatory Family Planning Facility
- Wauwatosa, WI
National Provider Identifier
1023162997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Family Planning Facility
- License
- 35187
- Legal business name
- KAREN S. WATSON MD SC
- Practice address
- 201 N Mayfair Rd
Suite 515
Wauwatosa, WI 53226-4216 - Phone
- (414) 731-2366
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Sue Watson, M.D.
- Title
- President
- Phone
- (414) 731-2366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | 35187 | WI | Primary |
Addresses
Primary practice location
201 N Mayfair Rd
Suite 515
Wauwatosa, WI 53226-4216
Mailing address
PO Box 11565
Milwaukee, WI 53211-0565
Phone (414) 731-2366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32214500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193097600000",
"number": "1023162997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11565",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532110565",
"telephone_number": "414-731-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD",
"address_2": "SUITE 515",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-731-2366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN S. WATSON MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2007-10-23",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-731-2366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": "WI",
"license": "35187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32214500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.