Organization Active NPI

Dermatology Centres, P.a.

Doing business as Watt Dermatology

  • Dermatology Physician
  • Inverness, FL
National Provider Identifier
1245647593
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS-0006067 Issued in FL
Legal business name
DERMATOLOGY CENTRES, P.A.
Doing business as
Watt Dermatology
Practice address
216 S Apopka Ave Ste a
Inverness, FL 34452
Phone
(352) 341-3344
Fax
(352) 341-7700
NPI assigned
Jul 18, 2014
Last updated
Aug 8, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DERMATOLOGY CENTRES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Dr. James Robert Watt, D.O.NPI 1366462228
Title
President
Phone
(352) 341-3344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS-0006067 FL Primary

Addresses

Primary practice location

216 S Apopka Ave Ste a
Inverness, FL 34452

Mailing address

216 S Apopka Ave Ste a
Inverness, FL 34452-4845
Phone (352) 341-3344

Other identifiers 1

IdentifierTypeStateIssuer
3740013-00MedicaidFL

Other names 1

  • Watt Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000065 FL Part B Supplier - Clinic/Group Practice 3375722564 Receives reassigned benefits from 1 practitioner
Practice locations: Inverness, FL

National Provider Directory

National Provider Directory
Part of
Dermatology Centres PA

Locations

112 W Highland Blvd
Inverness, FL 34452
Phone (352) 341-3344

216 S Apopka Ave
Ste A
Inverness, FL 34452
Phone (352) 341-3344

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1245647593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S APOPKA AVE STE A",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524845",
            "telephone_number": "352-341-3344",
            "fax_number": "352-341-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S APOPKA AVE STE A",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-341-3344",
            "fax_number": "352-341-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTRES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMATOLOGY CENTRES, P.A.",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-341-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS-0006067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3740013-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watt Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watt Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.