NPIMap

Individual provider Active NPI

Carol D Watkins, DO

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1265409759
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L7921 Issued in TX
Practice address
1201 S 7TH Avenue
Phoenix, AZ 85007
Phone
(602) 258-5111
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3723 AZ
Emergency Medicine Physician 207P00000X L7921 TX Primary

Addresses

Primary practice location

1201 S 7TH Avenue
Phoenix, AZ 85007

Mailing address

3104 E Camelback Rd
Ste 384
Phoenix, AZ 85016
Phone (623) 748-3302

Other identifiers 8

IdentifierTypeStateIssuer
33373558MedicaidNM
191012703MedicaidTX
AW1436OtherAZHEALTHNET GROUP
765886MedicaidAZ
AZ0728670OtherAZBCBS GROUP
3981220OtherAZEVERCARE GROUP
453051001OtherAZGROUP HEALTH GROUP
860373636OtherAZHUMANA GROUP

Other names 1

  • Ms. Carol Diane Watkins Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3723AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa General Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Exigence Arizona LLC Past Accepting new patients
Valley Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Affilion of Texas PLLC Past Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Emergency Physician Professional Association, LTD. Emergency Medicine Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Payson Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients
Odessa Physician Associates, PLLC Emergency Medicine Past Accepting new patients
Hualapai Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients
Casa Grande Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Organizations & group practices 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1265409759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD",
            "address_2": "STE 384",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "623-748-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85007",
            "telephone_number": "602-258-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CAROL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "3723",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L7921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33373558",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191012703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GROUP",
            "identifier": "AW1436",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765886",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "AZ0728670",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE GROUP",
            "identifier": "3981220",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH GROUP",
            "identifier": "453051001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GROUP",
            "identifier": "860373636",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WATKINS",
            "middle_name": "DIANE",
            "prefix": "MS.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.