Organization Active NPI

Keith a Watson MD Inc

  • Obstetrics & Gynecology Physician
  • Yellow Springs, OH
National Provider Identifier
1265735062
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35043758 Issued in OH
Legal business name
KEITH A WATSON MD INC
Practice address
100 Kahoe LN
Yellow Springs, OH 45387-1243
Phone
(937) 767-7311
NPI assigned
Dec 16, 2010
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Keith A Watson, MDNPI 1386623817
Title
President
Phone
(937) 767-7311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 35043758 OH Primary

Addresses

Primary practice location

100 Kahoe LN
Yellow Springs, OH 45387-1243

Mailing address

100 Kahoe LN
Yellow Springs, OH 45387-1243
Phone (937) 767-7311

Other identifiers 1

IdentifierTypeStateIssuer
0496780MedicaidOH

National Provider Directory

National Provider Directory

Locations

100 Kahoe Ln
Yellow Springs, OH 45387
Phone (937) 376-9731

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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1265735062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KAHOE LN",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871243",
            "telephone_number": "937-767-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHOE LN",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871243",
            "telephone_number": "937-767-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A WATSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-767-7311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35043758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellow Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.