NPIMap

Individual provider Active NPI

Travis Daniel Watson, M.D.

  • Emergency Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1124229331
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD437910 Issued in PA
Practice address
112 N 7TH St
Chambersburg, PA 17201-1720
Phone
(717) 267-7146
Fax
(717) 267-7728
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD437910 PA Primary
Emergency Medicine Physician 207P00000X MD45044 TN
Emergency Medicine Physician 207P00000X 0101245487 VA

Addresses

Primary practice location

112 N 7TH St
Chambersburg, PA 17201-1720

Mailing address

112 N 7TH St
Chambersburg, PA 17201-1720

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 2

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 3

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3400

Other identifiers 4

IdentifierTypeStateIssuer
102436642MedicaidPA
2157736OtherPAHIGHMARK
1519614MedicaidTN
50101792OtherPABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000324 PA Practitioner - Emergency Medicine 8729123609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
East Tennessee State University Quillen College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chambersburg HospitalGroup PAC ID 5496748303, 30 clinicians
Waynesboro HospitalGroup PAC ID 6305830936, 29 clinicians

Practice addresses (Care Compare)

112 N 7TH St
Chambersburg, PA 17201-1720

176 S Coldbrook Ave
The Chambersburg Hospital Psychiatric Outpa
Chambersburg, PA 17201-2714
Phone (717) 267-7480

501 E Main St
Hosp Emergency Dept
Waynesboro, PA 17268-2353
Phone (717) 762-7775

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45044TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MD45044TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Chambersburg Hospital CurrentSince Apr 20, 2016 Accepting new patients
The Chambersburg Hospital CurrentSince Apr 20, 2016 Accepting new patients
Waynesboro Hospital Emergency Medicine CurrentSince Apr 20, 2016 Accepting new patients
Waynesboro Hospital CurrentSince Apr 20, 2016 Accepting new patients
Waynesboro Hospital Current Accepting new patients
Wellmont Physician Services Inc Past Accepting new patients
Central PA Emergency Physicians Emergency Medicine Past Accepting new patients
Bestpractices of Pennsylvania PC Emergency Medicine Past Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

176 S Coldbrook Ave
Chambersburg, PA 17201
Phone (717) 263-0550

785 5th Ave
Ste 3
Chambersburg, PA 17201

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

Organizations & group practices 8

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 7

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1124229331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720",
            "telephone_number": "717-267-7146",
            "fax_number": "717-267-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3400",
            "fax_number": "717-765-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TRAVIS",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD437910",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD45044",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101245487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102436642",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2157736",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519614",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50101792",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.