Active NPI
Robert W Watson II, M.D.
- General Practice Physician
- Reno, NV
National Provider Identifier
1295761005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9076
- Practice address
- 6880 S McCarran Blvd Ste 12
Reno, NV 89509-6129 - Phone
- (775) 335-2044
- Fax
- (877) 775-5220
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9076 | NV | |
| General Practice Physician | 208D00000X | 9076 | NV | Primary |
Addresses
Primary practice location
6880 S McCarran Blvd Ste 12
Reno, NV 89509-6129
Mailing address
6880 S McCarran Blvd Ste 12
Reno, NV 89509-6129
Phone (775) 771-2217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016735 | Medicaid | NV |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9076 | NV | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lyon Health Center, Inc. | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1295761005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6880 S MCCARRAN BLVD STE 12",
"city": "RENO",
"state": "NV",
"postal_code": "895096129",
"telephone_number": "775-771-2217",
"fax_number": "877-775-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6880 S MCCARRAN BLVD STE 12",
"city": "RENO",
"state": "NV",
"postal_code": "895096129",
"telephone_number": "775-335-2044",
"fax_number": "877-775-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "9076",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "9076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016735",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.