Organization Active NPI

Jon Thomas Watson MD PA

Doing business as South Texas Mobile Imaging

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
National Provider Identifier
1114366416
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L1234 Issued in TX
Legal business name
JON THOMAS WATSON MD PA
Doing business as
South Texas Mobile Imaging
Practice address
14838 Cobo de Bara Cir
Corpus Christi, TX 78418-6908
Phone
(361) 949-0994
Fax
(361) 228-2136
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. Jon Thomas Watson, M.D.
Title
Owner/President
Phone
(361) 774-4831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X L1234 TX Primary

Addresses

Primary practice location

14838 Cobo de Bara Cir
Corpus Christi, TX 78418-6908

Mailing address

14838 Cobo de Bara Cir
Corpus Christi, TX 78418-6908
Phone (361) 949-0994

Other identifiers 1

IdentifierTypeStateIssuer
1154427813OtherTXNPI

Other names 1

  • South Texas Mobile Imaging Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1114366416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14838 COBO DE BARA CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186908",
            "telephone_number": "361-949-0994",
            "fax_number": "361-228-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14838 COBO DE BARA CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186908",
            "telephone_number": "361-949-0994",
            "fax_number": "361-228-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON THOMAS WATSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "361-774-4831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154427813",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.