Individual provider Active NPI

Scott Watamura, MD

  • Anesthesiology Physician
  • Lima, OH
National Provider Identifier
1154593127
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.094788 Issued in OH
Practice address
1001 Bellefontaine Ave
Lima, OH 45804
Phone
(419) 228-3335
NPI assigned
Mar 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME96579 FL
Anesthesiology Physician 207L00000X 35.094788 OH Primary

Addresses

Primary practice location

1001 Bellefontaine Ave
Lima, OH 45804

Mailing address

951 Commerce Pkwy Ste 101
Lima, OH 45804-4040
Phone (419) 998-4575

Other identifiers 2

IdentifierTypeStateIssuer
3042282MedicaidOH
000001162857OtherOHANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080821000456 FL Practitioner - Anesthesiology 6709951924 Reassigns benefits to 4 organizations
I20100521000499 OH Practitioner - Anesthesiology 6709951924 Reassigns benefits to 5 organizations
I20240509000842 WI Practitioner - Anesthesiology 6709951924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians
Southwest Ohio Anesthesia Consultants LLCGroup PAC ID 6901700640, 362 clinicians

Practice addresses (Care Compare)

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Jan 31, 2016 Accepting new patients
Sandusky Anesthesia LLC CurrentSince Oct 12, 2024 Accepting new patients
Treasure Coast Anesthesia Group PA Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince May 3, 2019 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Apr 22, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince May 19, 2025 Accepting new patients
Wood Anesthesia & Pain Treatment, LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. Anesthesiology CurrentSince May 19, 2025 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Jan 31, 2016 Accepting new patients
Racine Anesthesia Services, LLC Anesthesiology CurrentSince Apr 5, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Obstetric Anesthesia Associates Inc. Anesthesiology Past Accepting new patients
Florida Anesthesia Associates P a Anesthesiology Past Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Christian L Koppel MD PA Anesthesiology Past Accepting new patients
Zanesville Anesthesia Physicians Inc Anesthesiology Past Accepting new patients

Locations (25 of 33)

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

6151 SE Federal Hwy
Stuart, FL 34997
Phone (772) 247-2005

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

8250 Kenwood Crossing Way
Ste 102
Cincinnati, OH 45236
Phone (513) 791-5548

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

Networks

  • Freedom Health HMO Network

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1154593127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 COMMERCE PKWY STE 101",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044040",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45804",
            "telephone_number": "419-228-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATAMURA",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-30",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME96579",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.094788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042282",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000001162857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.