Timothy Lee Watson II, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01175 Issued in WV

Practice address

703 Ritter Dr
Glen Morgan, WV 25813-7709

Phone

(304) 255-1300

NPI assigned

Jun 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

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Raleigh General Hospital LLC

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1114475746
  Medicare reassignment NPD
• Raleigh General Hospital LLC

  • Cardiovascular Disease Physician
  • Beckley, WV
  • NPI 1083858377
  NPD
• Beckley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1376757674

  Physician Assistant

  NPD (past)
• Beckley Treatment Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaver, WV
  • NPI 1043229594
  NPD (past)
• Beckley Treatment Center, LLC

  • Methadone Clinic
  • Beaver, WV
  • NPI 1558876383
  NPD (past)
• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461

  Physician Assistant

  NPD (past)
• Med Surg Physician Group, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Beckley, WV
  • NPI 1083373997
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083656144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 GRIST MILL DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RITTER DR",
            "city": "GLEN MORGAN",
            "state": "WV",
            "postal_code": "258137709",
            "telephone_number": "304-255-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_suffix": "II",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prompt Care, Inc.
• Raleigh Hearing Center, Inc.
• Corinne Rice
• Sherry Ann Robinson
• Christopher Thompson, PA-C
• Bella N Zinzuwadia, MD

• Physician Assistant in Glen Morgan, WV
• Providers in Glen Morgan, WV by specialty
• Physician Assistant in West Virginia

• 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.