Active NPI
Charles R. Watson, MD
- Anesthesiology Physician
- Memphis, TN
National Provider Identifier
1104899558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 26265
- Practice address
- 877 Jefferson Ave
Memphis, TN 38103-2807 - Phone
- (901) 545-7100
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
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.
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- Anesthesiology Physician
- Crossville, TN
- NPI 1801034269
Anesthesiology
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- Anesthesiology Physician
- Cryatal City, MO
- NPI 1073545265
Anesthesiology
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Anesthesiology Physician
- El Dorado, AR
- NPI 1699758169
Anesthesiology
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- Certified Registered Nurse Anesthetist
- Pueblo, CO
- NPI 1437132990
Anesthesiology
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1518940063
Anesthesiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C41879 | CO | MD | Anesthesiology Physician |
| 2004029832 | MO | MD | Anesthesiology Physician |
| 26265 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Anesthesia Group LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of Jefferson County | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Arkansas PA | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Louisiana Inc | Anesthesiology | Past | Accepting new patients |
| Lsuhn Billing LLC | Past | Accepting new patients | |
| Forest Park Anesthesia, Inc | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Colorado PC | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- cwatson48266@direct.southcoast.org
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C41879 | CO | |
| Anesthesiology Physician | 207L00000X | 2004029832 | MO | |
| Anesthesiology Physician | 207L00000X | 26265 | TN | Primary |
Addresses
Primary practice location
877 Jefferson Ave
Memphis, TN 38103-2807
Mailing address
400 S 4TH St
Apt. 901
Saint Louis, MO 63102-1815
Phone (337) 591-5813
NPI Registry JSON
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1104899558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S 4TH ST",
"address_2": "APT. 901",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631021815",
"telephone_number": "337-591-5813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-545-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CHARLES",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "C41879",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2004029832",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "26265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.