Individual provider Active NPI

Thomas R Watson, M.D.

  • Anesthesiology Physician
  • Texarkana, TX
National Provider Identifier
1376541755
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
F7287 Issued in TX
Practice address
4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone
(903) 735-9802
Fax
(903) 735-9806
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X F7287 TX Primary

Addresses

Primary practice location

4100 Summerhill Rd
Texarkana, TX 75503-2732

Mailing address

4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone (903) 735-9802

Other identifiers 6

IdentifierTypeStateIssuer
89209OtherARBLUE CROSS
00107JOtherTXBLUE CROSS
107757001MedicaidAR
131104508MedicaidTX
100145520BMedicaidOK
131104504MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000304 TX Practitioner - Anesthesiology 2668538984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attigo Infusion IncGroup PAC ID 5597190645, 20 clinicians

Practice addresses (Care Compare)

1340 Wonder World Dr
2203 Medix Infusion
San Marcos, TX 78666-7791
Phone (833) 696-3349

2800 Shoreline Dr
Denton, TX 76210-0128
Phone (972) 661-2273

500 W Whitestone Blvd
275 Medix Infusion
Cedar Park, TX 78613-2341
Phone (833) 696-3349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Attigo Infusion Inc CurrentSince Apr 1, 2024 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients

Locations (25 of 35)

15301 Spectrum Dr
Ste 330
Addison, TX 75001
Phone (806) 239-5716

1001 W Arbrook Blvd
Ste 161
Arlington, TX 76015
Phone (817) 402-0952

3025 Matlock Rd
Ste 105
Arlington, TX 76015

500 W Whitestone Blvd
Ste 275
Cedar Park, TX 78613

5802 Saratoga Blvd
Ste 350
Corpus Christi, TX 78414

1521 S Staples St
Ste 405
Corpus Christi, TX 78404
Phone (541) 388-3978

2800 Shoreline Dr
Ste 270
Denton, TX 76210

3101 Churchill Dr
Ste 210
Flower Mound, TX 75022
Phone (972) 874-8188

4100 Heritage Trace Pkwy
Ste 116
Fort Worth, TX 76244
Phone (817) 491-0223

7100 Oakmont Blvd
Ste 105
Fort Worth, TX 76132
Phone (817) 292-2700

350 Kingwood Medical Dr
Ste 240
Kingwood, TX 77339
Phone (541) 388-3978

751 Hebron Pkwy
Ste 330
Lewisville, TX 75057
Phone (214) 488-9300

7300 Eldorado Pkwy
Ste 240
McKinney, TX 75070

3300 N A St
Bldg 5
Midland, TX 79705
Phone (432) 400-3401

4351 Booth Calloway Rd
Ste 201
North Richlnd Hls, TX 76180
Phone (469) 606-0010

6010 E Highway 191
Ste 130
Odessa, TX 79762
Phone (432) 363-2700

4500 E Sam Houston Pkwy S
Ste 235
Pasadena, TX 77505

1601 E Pflugerville Pkwy
Ste 3304
Pflugerville, TX 78660

4888 Dexter Dr
Ste 400
Plano, TX 75093

106 Plaza Dr
Red Oak, TX 75154
Phone (469) 552-6630

16000 Park Valley Dr
Ste 150
Round Rock, TX 78681
Phone (512) 828-3220

5706 Rowlett Rd
Ste 100
Rowlett, TX 75089
Phone (469) 363-7839

325 E Sonterra Blvd
Ste 120
San Antonio, TX 78258
Phone (210) 490-1342

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

5410 Fredericksburg Rd
Ste A306
San Antonio, TX 78229

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1376541755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-735-9802",
            "fax_number": "903-735-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032732",
            "telephone_number": "903-735-9802",
            "fax_number": "903-735-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F7287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "89209",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00107J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107757001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131104508",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100145520B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131104504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.