Active NPI
Julieanne Renee Watters, DO
- Emergency Medicine Physician
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS013781
- Practice address
- 155 Wilson Ave
Washington Hospital
Washington, PA 15301-3336 - Phone
- (724) 223-3342
- Fax
- (610) 617-6280
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS013781 | PA | Primary |
| Family Medicine Physician | 207Q00000X | OS013781 | PA |
Addresses
Primary practice location
155 Wilson Ave
Washington Hospital
Washington, PA 15301-3336
Mailing address
155 Wilson Ave
Washington Hospital
Washington, PA 15301-3336
Phone (724) 223-3342
Other names 1
- Julie Renee Coffman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, OK, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190325000597 | MI | Practitioner - Family Practice | 8820191380 | |
| I20190416000294 | IN | Practitioner - Family Practice | 8820191380 | |
| I20190507000869 | OK | Practitioner - Family Practice | 8820191380 | |
| I20190514002816 | IL | Practitioner - Family Practice | 8820191380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | Current | Accepting new patients |
| Medexpress Urgent Care Texas, P.a. | Emergency Medicine | Past | Accepting new patients |
| Washington Hospital | Emergency Medicine | Past | Accepting new patients |
| Medexpress Urgent Care, PC - Monaca | Emergency Medicine | Past | Accepting new patients |
Locations
3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207
Organizations & group practices 4
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.
-
dba MedExpress Urgent Care - Tulsa, S Yale Ave
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1710371448
Emergency Medicine
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
Emergency Medicine
-
dba Emergency Medicine Washington Hospital
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, PA
- NPI 1639133861
-
dba MedExpress Urgent Care - Waxahachie, N Highway 77
- Urgent Care Clinic/Center
- Waxahachie, TX
- NPI 1235633306
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1225194178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WILSON AVE",
"address_2": "WASHINGTON HOSPITAL",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013336",
"telephone_number": "724-223-3342",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WILSON AVE",
"address_2": "WASHINGTON HOSPITAL",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153013336",
"telephone_number": "724-223-3342",
"fax_number": "610-617-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "JULIEANNE",
"middle_name": "RENEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS013781",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS013781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "COFFMAN",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.