Individual provider Active NPI

Colin Mahlon Watson, PA

  • Physician Assistant
  • New Albany, OH
National Provider Identifier
1043841448
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006318RX Issued in OH
Practice address
5040 Forest Dr Ste 300
New Albany, OH 43054-8166
Phone
(614) 890-6555
NPI assigned
Feb 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 50.006318RX OH Primary

Addresses

Primary practice location

5040 Forest Dr Ste 300
New Albany, OH 43054-8166

Mailing address

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 839-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224001524 OH Practitioner - Physician Assistant 4981031424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1325 Stringtown Rd
Suite 280
Grove City, OH 43123-7201
Phone (614) 890-6555

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

6785 Bobcat Way
Suite 300
Dublin, OH 43016-1443
Phone (614) 890-6555

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 890-6555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006318RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc CurrentSince Feb 4, 2020 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Orthopedic & Neurological Consultants, Inc. Multi-Specialty CurrentSince Feb 4, 2020 Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

L 3973
Columbus, OH 43260

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

6785 Bobcat Way
Ste 300
Dublin, OH 43016

1325 Stringtown Rd
Ste 280
Grove City, OH 43123

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

1240 Hill Rd N
Pickerington, OH 43147
Phone (614) 839-2115

1030 Refugee Rd
Ste 180
Pickerington, OH 43147

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Interoperability endpoints

  • Direct secure messaging: colin.watson.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1043841448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-839-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 FOREST DR STE 300",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548166",
            "telephone_number": "614-890-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "COLIN",
        "middle_name": "MAHLON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006318RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.