Herman Watson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

R6315 Issued in MO

Practice address

1734 E 63Rd St
Suite 460
Kansas City, MO 64110-3543

Phone

(816) 523-1177

Fax

(816) 523-2521

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1306815485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW PONDEROSA ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641462",
            "telephone_number": "816-523-1177",
            "fax_number": "816-523-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 E 63RD ST",
            "address_2": "SUITE 460",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103543",
            "telephone_number": "816-523-1177",
            "fax_number": "816-523-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R6315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000400A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200473916",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elijah Watkins
• Greyson Wade Watkins
• Titania Rae Watkins, APRN
• Danielle Watring
• Cynthia Louise Watson, LSCSW
• Kaitlin Elizabeth Watson, NNP
• Kathleen Watson
• Kenneth R Watson, DO
• Kevin Watson, PA-C
• Kodi Lee Watson, MS, RD, LD

• Specialist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.