Active NPI
Randy Charles Watson, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Zephyr Cove, NV
National Provider Identifier
1487653655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 3188
- Practice address
- 212 Elks Point Road
Suite 200
Zephyr Cove, NV 89448 - Phone
- (775) 588-3636
- Fax
- (775) 588-1299
- NPI assigned
- Jul 19, 2005
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 3188 | NV | Primary |
Addresses
Primary practice location
212 Elks Point Road
Suite 200
Zephyr Cove, NV 89448
Mailing address
PO Box 11889
Zephyr Cove, NV 89448-3889
Phone (775) 588-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003284 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3188 | NV | MD | Sports Medicine (Orthopaedic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487653655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11889",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894483889",
"telephone_number": "775-588-3636",
"fax_number": "775-588-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 ELKS POINT ROAD",
"address_2": "SUITE 200",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "89448",
"telephone_number": "775-588-3636",
"fax_number": "775-588-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "RANDY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NV",
"license": "3188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003284",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zephyr Cove, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.