Individual provider Active NPI

Joseph Thomas Watson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
National Provider Identifier
1063874584
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3944 Issued in FL
Practice address
1890 Lpga Blvd Ste 230
Daytona Beach, FL 32117-7131
Phone
(386) 279-4062
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X PO3944 FL Primary

Addresses

Primary practice location

1890 Lpga Blvd Ste 230
Daytona Beach, FL 32117-7131

Mailing address

6910 Main St
Apt 357
Miami Lakes, FL 33014-7014
Phone (561) 644-3565

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607001223 FL Practitioner - Podiatry 5294091955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, 1,260 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

790 Dunlawton Ave
Suite C
Port Orange, FL 32127-4222
Phone (386) 788-6333

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue53
Removal of skin lesions1-10
Removal of nail tissue1336
Removal or shaving of skin growth199
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3944FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Podiatry Associates DPM PA Single Specialty CurrentSince Jul 15, 2019 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Single Specialty CurrentSince Jan 15, 2025 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA Single Specialty CurrentSince Jan 15, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients
Upperline Healthcare, PC Single Specialty CurrentSince Feb 15, 2021 Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

1890 Lpga Blvd
Ste 230
Daytona Beach, FL 32117
Phone (386) 274-3336

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

975 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 465-4104

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

790 Dunlawton Ave
Ste C
Port Orange, FL 32127
Phone (386) 788-6333

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: joseph.watson.1@4399.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1063874584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 MAIN ST",
            "address_2": "APT 357",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147014",
            "telephone_number": "561-644-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD STE 230",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177131",
            "telephone_number": "386-279-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.