John R Watson, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0046623 Issued in FL

Practice address

5301 N Dixie Hwy
Suite 202
Oakland Park, FL 33334-3403

Phone

(954) 771-9920

Fax

(954) 771-9922

NPI assigned

Oct 12, 2006

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 FL

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 Medicine

State licenses

Practice roles

Locations

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.

• Coral Ridge Gastroenterology Associates LLC

  • Gastroenterology Physician
  • Fort Lauderdale, FL
  • NPI 1265628424
  Medicare reassignment NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1043309776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 N DIXIE HWY",
            "address_2": "SUITE 202",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343403",
            "telephone_number": "954-771-9920",
            "fax_number": "954-771-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 N DIXIE HWY",
            "address_2": "SUITE 202",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343403",
            "telephone_number": "954-771-9920",
            "fax_number": "954-771-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0046623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049418600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Walton, PTA
• Kevin Wang, M.D.
• William Black Ward Jr., M.D.
• Latanya Ware
• Deena Washington
• Way Home Treatment Center (The Way Home Treatment Center LLC)
• Ways 4 Women Corporation
• Ways 4 Women Corporation
• WCK Rehab Center PLLC
• Robert Alexander Weiss, APRN, PMHNP-BC

• Gastroenterology Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.