Active NPI
Steven J Watson, DPM
- Podiatrist
- Slidell, LA
National Provider Identifier
1437104155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PD021R
- Practice address
- 108 Smart Place
Suite a
Slidell, LA 70458 - Phone
- (985) 649-0002
- Fax
- (985) 649-0034
- NPI assigned
- May 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PD021R | LA | Primary |
Addresses
Primary practice location
108 Smart Place
Suite a
Slidell, LA 70458
Mailing address
108 Smart Place
Suite a
Slidell, LA 70458
Phone (985) 649-0002
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN3640 | Other | LA | RAILROAD MEDICARE |
| 00015683 | Other | MS | MEDICAID |
| CN3639 | Other | MS | RAILROAD MEDICARE |
| 1318418 | Medicaid | LA | |
| CN3638 | Other | LA | RAILROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD021R | LA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1437104155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 SMART PLACE",
"address_2": "SUITE A",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"telephone_number": "985-649-0002",
"fax_number": "985-649-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 SMART PLACE",
"address_2": "SUITE A",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"telephone_number": "985-649-0002",
"fax_number": "985-649-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "LA",
"license": "PD021R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN3640",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "00015683",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN3639",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1318418",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN3638",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.