Eleanor A Watson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301083120 Issued in MI

Practice address

1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394

Phone

(517) 349-6560

Fax

(517) 349-5796

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI

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 Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eleanor.watson.p1@direct.ichd.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/13693/brand/1/csg/1/fhir/r4
• Direct secure messaging: eleanor.watson.1@25394.direct.athenahealth.com

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.

• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670
  Medicare reassignment NPD
• Msu Health Care Inc

  • Pediatrics Physician
  • Okemos, MI
  • NPI 1003441171
  NPD
• Msu Health Care Inc.

  • Physical Therapist
  • East Lansing, MI
  • NPI 1689206419
  NPD
• County of Ingham

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
  • NPI 1568560308
  NPD (past)
• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750
  NPD (past)
• McLaren Medical Group

  • Pediatrics Physician
  • Lapeer, MI
  • NPI 1306983176
  NPD (past)
• McLaren Medical Group

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1780652206

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1194866046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-349-6560",
            "fax_number": "517-349-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W GRAND RIVER AVE STE 2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642394",
            "telephone_number": "517-349-6560",
            "fax_number": "517-349-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5303 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113800",
            "country_code": "US",
            "telephone_number": "517-887-4305",
            "fax_number": "517-887-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236819",
            "country_code": "US",
            "telephone_number": "517-884-8600",
            "fax_number": "517-884-8650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13750 S Sedona Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489068101",
            "country_code": "US",
            "telephone_number": "517-353-4000",
            "fax_number": "844-722-4112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7335 Westshire Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489179703",
            "country_code": "US",
            "telephone_number": "517-622-1012",
            "fax_number": "517-622-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ELEANOR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301083120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "AAH000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "350D410030",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4915735",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1020845",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000006359",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Warner
• Gabriella Washburn
• Alexander Wassom
• Emily Wasyl, BCBA, LBA
• Desiree Waters, MSW, LISW
• Tesia Daniele Watson
• Marissa Watts
• Tareva Watts, LLMSW
• We DO for Family LLC
• Kristin Anne Weidert, DO

• Pediatrics Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.