Matthew D Watters, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

671600 Issued in TX

Practice address

4916 Overton PLZ
Fort Worth, TX 76109-4415

Phone

(817) 334-0530

Fax

(817) 877-0350

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Medical Management Solutions, LLCGroup PAC ID 1153663885, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Total Medical Management Solutions, LLC

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1831663921
  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lone Star Anesthesia Partners PLLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1124760996
  Medicare reassignment NPD
• Northstar Anesthesia II PA

  • Anesthesiology Physician
  • Burleson, TX
  • NPI 1477066405

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Clinical Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1518265966
  Medicare reassignment
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610
  Medicare reassignment
• Comprehensive Pain Management, PA

  • Specialist
  • Corpus Christi, TX
  • NPI 1639103674
  NPD
• Alliance Anesthesia Associates, PA

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1376592329

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Apex Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1124201827
  NPD (past)
• Clinical Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1952026163

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Integrated Medical Professionals 1, LTD

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1336160209
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1265614929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 OVERTON PLZ",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094415",
            "telephone_number": "817-334-0530",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 OVERTON PLZ",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094415",
            "telephone_number": "817-334-0530",
            "fax_number": "817-877-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "671600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Carolyine Watson, LVN
• Robert K Watson, MD
• Timothy Erick Watson, LPC-S
• Virginia Emily Watson, MD
• Adriane Denise Watters, LCSW
• Scott Andrew Watters, LPC
• Shannon Watterson
• Barry K Watts, MD
• David C Watts, MD
• Jamie Watts, AUDIOLOGIST

• Certified Registered Nurse Anesthetist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.