Active NPI
John Baxter Watson MD SC
- Hematology & Oncology Physician
- Chicago, IL
National Provider Identifier
1275713307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- JOHN BAXTER WATSON MD SC
- Practice address
- 2900 N Lake Shore Dr # 458
Chicago, IL 60657-5640 - Phone
- (773) 404-0160
- Fax
- (773) 404-9876
- NPI assigned
- Nov 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Baxter Watson, MD
- Title
- President
- Phone
- (773) 404-0160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | IL | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr # 458
Chicago, IL 60657-5640
Mailing address
2900 N Lake Shore Dr # 458
Chicago, IL 60657-5640
Phone (773) 404-0160
National Provider Directory
National Provider DirectoryLocations
2900 N Lake Shore Dr
#458
Chicago, IL 60657
Phone (773) 665-7845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1275713307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR # 458",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "773-404-0160",
"fax_number": "773-404-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR # 458",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "773-404-0160",
"fax_number": "773-404-9876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN BAXTER WATSON MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BAXTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-404-0160",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.