Active NPI
Philip Dean Watson, DO
- Pulmonary Disease Physician
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 02000753A
- Practice address
- 520 S 7TH St
Vincennes, IN 47591-1038 - Phone
- (812) 885-3243
- Fax
- (812) 885-3915
- NPI assigned
- Jul 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 02000753A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 02000753A | IN | Primary |
Addresses
Primary practice location
520 S 7TH St
Vincennes, IN 47591-1038
Mailing address
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3243
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000701306 | Other | IN | ANTHEM |
| 100341610 | Medicaid | IN |
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
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Consultants of Vincennes, PC | Pulmonary Disease | Current | Accepting new patients |
| Good Samaritan Hospital Physician Services, Inc | Current | Accepting new patients |
Locations
514 S 9th St
Vincennes, IN 47591
Phone (812) 885-6990
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010
520 S 7th St
Unit Er
Vincennes, IN 47591
Phone (812) 885-3292
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.
-
- Interventional Cardiology Physician
- Vincennes, IN
- NPI 1134114622
Pulmonary Disease
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1558368308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S 7TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911038",
"telephone_number": "812-885-3243",
"fax_number": "812-885-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S 7TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911038",
"telephone_number": "812-885-3243",
"fax_number": "812-885-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "PHILIP",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "02000753A",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "02000753A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000701306",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100341610",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.