Active NPI
Robert A Watson II, MD
- Family Medicine Physician
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E1050
- Practice address
- 3108 North West Avenue
El Dorado, AR 71730 - Phone
- (870) 863-9020
- Fax
- (870) 863-7209
- NPI assigned
- Aug 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E1050 | AR | Primary |
Addresses
Primary practice location
3108 North West Avenue
El Dorado, AR 71730
Mailing address
3108 North West Avenue
El Dorado, AR 71730
Phone (870) 863-9020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130131001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000053 | AR | Practitioner - Family Practice | 3375509540 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care of Southern Arkansas, LTD
Practice addresses (Care Compare)
11001 Executive Ctr Dr
Suite 200
Little Rock, AR 72211-4393
3108 N W Ave
El Dorado, AR 71730-2731
Phone (870) 863-9020
Hospital & facility affiliations
- South Arkansas Home Health
- South Arkansas Regional Hospital LLC
- Baptist Health Medical Center-Little Rock
- Ouachita County Medical Center
- Ashley County Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of skin lesions | 18 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1050 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care of Southern Arkansas, LTD | Family Medicine | Current | Accepting new patients |
| South Arkansas Physician Services LLC | Family Medicine | Past | Accepting new patients |
Locations
3108 N West Ave
El Dorado, AR 71730
Phone (870) 863-9020
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
Organizations & group practices 2
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.
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1790050466
AR, Family Medicine
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1427018704
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- El Dorado, AR
- NPI 1285659409
-
- General Acute Care Hospital
- El Dorado, AR
- NPI 1780375592
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417060286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 NORTH WEST AVENUE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-863-9020",
"fax_number": "870-863-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 NORTH WEST AVENUE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-863-9020",
"fax_number": "870-863-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E1050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130131001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.