Max S Watzman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4433 Issued in FL

Practice address

2830 Casa Aloma Way
Winter Park, FL 32792-2272

Phone

(407) 678-5554

Fax

(407) 678-9972

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

Yes

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 Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: maxwatzman@mjb.ssdirect.aprima.com

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1104893445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CASA ALOMA WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-678-5554",
            "fax_number": "407-678-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CASA ALOMA WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922272",
            "telephone_number": "407-678-5554",
            "fax_number": "407-678-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATZMAN",
        "first_name": "MAX",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Watkins III, MD
• Meredith Brooke Watson Locklear, M.D.
• Ariana Watson, OTR L
• Christina Ann Marie Watson
• Jenna Leigh Watson
• Wave Counseling and Consulting Services
• Zachary Way
• Amanda Kelli Wazbinski
• Kimberly Shaffer Weatherby
• Peyton Webb

• Family Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.