Active NPI
Frederick D Watson Jr., DO
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1609873587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N0544
- Practice address
- 2900 North Loop West
Suite 1300
Houston, TX 77092 - Phone
- (832) 553-3572
- Fax
- (832) 553-3402
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00686 | SC | |
| Family Medicine Physician | 207Q00000X | 200400280 | NC | |
| Family Medicine Physician | 207Q00000X | N0544 | TX | Primary |
Addresses
Primary practice location
2900 North Loop West
Suite 1300
Houston, TX 77092
Mailing address
2900 North Loop West
Suite 1300
Houston, TX 77092
Phone (832) 553-3572
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00102353 | Other | RAILROAD MEDICARE | |
| P00115976 | Other | RAILROAD MEDICARE | |
| 006861 | Medicaid | SC |
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, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400280 | NC | MD | Family Medicine Physician |
| 00686 | SC | MD | Family Medicine Physician |
| N0544 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Health, Inc | Family Medicine | Past | Accepting new patients |
| Piedmont Physician Network LLC | Family Medicine | Past | Accepting new patients |
| Piedmont Urgent Care Center at Baxter Village LLC | Past | Accepting new patients | |
| Piedmont East Urgent Care Center LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
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.
-
- Urgent Care Clinic/Center
- Rock Hill, SC
- NPI 1437146537
-
- Urgent Care Clinic/Center
- Fort Mill, SC
- NPI 1972590073
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": "1297641600000",
"number": "1609873587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NORTH LOOP WEST",
"address_2": "SUITE 1300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77092",
"telephone_number": "832-553-3572",
"fax_number": "832-553-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 NORTH LOOP WEST",
"address_2": "SUITE 1300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77092",
"telephone_number": "832-553-3572",
"fax_number": "832-553-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "FREDERICK",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "00686",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200400280",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N0544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00102353",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00115976",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006861",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.