Watertown Urgent Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

169537 Issued in NY

Legal business name

WATERTOWN URGENT CARE PLLC

Practice address

457 Gaffney Dr
Watertown, NY 13601-1834

Phone

(315) 779-2273

Fax

(315) 779-2274

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Sharon Crump

Title

Office Manager

Phone

(315) 779-2273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Raymond Donoghue Jr., FNP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1558174714
  Medicare reassignment Care Compare group NPD
• Sarah E Hill, FNP-BC

  • Family Nurse Practitioner
  • Carthage, NY
  • NPI 1912253469
  Medicare reassignment Care Compare group NPD
• Collins F Kellogg Jr., MD

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1225031255
  Medicare reassignment Care Compare group NPD
• Jamaica Mariae Del Rosario Tobias, DNP, AGACNP, FNP

  • Family Nurse Practitioner
  • Carthage, NY
  • NPI 1225430549
  Medicare reassignment Care Compare group NPD
• Shauna Marie Campanaro, PA-C

  • Physician Assistant
  • Watertown, NY
  • NPI 1417347568
  Medicare reassignment Care Compare group
• Byron Evans, PA

  • Physician Assistant
  • Gouverneur, NY
  • NPI 1134726714
  Medicare reassignment Care Compare group
• Connor Collins Kellogg, FNP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1467166736
  Medicare reassignment Care Compare group
• Robert William Lees

  • Physician Assistant
  • Adams Center, NY
  • NPI 1952997256
  Medicare reassignment Care Compare group
• Michael Anthony Lettiere Sr., RPA-C

  • Physician Assistant
  • Watertown, NY
  • NPI 1437114204
  Medicare reassignment Care Compare group
• Robert James Pickeral Jr., PAC

  • Medical Physician Assistant
  • Watertown, NY
  • NPI 1205469186
  Medicare reassignment Care Compare group
• Jeff D Perrine, FNP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1245675495
  Medicare reassignment NPD
• Selina M Villanueva, N.P.

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1639721137
  Medicare reassignment NPD

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1194924134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 GAFFNEY DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011834",
            "telephone_number": "315-779-2273",
            "fax_number": "315-779-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 GAFFNEY DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011834",
            "telephone_number": "315-779-2273",
            "fax_number": "315-779-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-779-2273"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "169537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watertown Medical Optical PLLC (Noaman Sanni dba Watertown Medical Optical PLLC)
• Watertown Pediatric Dentistry PLLC
• Watertown Pediatrics,PC
• Watertown Surgical Group
• Watertown Urban Mission
• Alta Louise Watkins, PA
• Patricia Marcelle Watts, SLP
• Jeffrey D Way, MD
• Lawrence E. Way, DDS
• David L Weal, LCSW

• Internal Medicine Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.