Individual provider Active NPI

Pauline D Watson, D.O.

  • Cardiovascular Disease Physician
  • Saginaw, MI
National Provider Identifier
1619147253
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101019088 Issued in MI
Practice address
900 Cooper Ave
Suite 4100
Saginaw, MI 48602-5182
Phone
(989) 497-9395
Fax
(989) 583-7173
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS012699 PA
Cardiovascular Disease Physician 207RC0000X 5101019088 MI Primary

Addresses

Primary practice location

900 Cooper Ave
Suite 4100
Saginaw, MI 48602-5182

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-2833

Other identifiers 1

IdentifierTypeStateIssuer
1619147253MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pwatson17665@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000197 MI Practitioner - Cardiovascular Disease (Cardiology) 8426127515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Hahnemann University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

2750 Main St
Suite 3
Marlette, MI 48453-1100
Phone (989) 635-4023

2770 Main St
Marlette, MI 48453-1141
Phone (989) 635-4344

2780 Main St
Marlette, MI 48453-1141
Phone (989) 635-7568

2919 Wilder Rd
Bay City, MI 48706-9602

4884 Berl Dr
Saginaw, MI 48604-2802
Phone (989) 497-9395

600 N Main St
Frankenmuth, MI 48734-1152

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4220

800 Cooper Ave
Suite 4
Saginaw, MI 48602-5371
Phone (989) 583-7380

900 Cooper Ave
Saginaw, MI 48602-5182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Deckerville Community Hospital, Inc. Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jun 15, 2011 Accepting new patients
Marlette Regional Hospital Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Marlette Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Jun 15, 2011 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Deckerville Community Hospital, Inc CurrentSince Jan 1, 2025 Accepting new patients
David S. Poll, M.D., PC Past Accepting new patients

Locations

1910 Pine Ave
Alma, MI 48801
Phone (989) 463-3101

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

600 N Main St
Ste 220B
Frankenmuth, MI 48734
Phone (989) 583-6521

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2750 Main St
Ste 3
Marlette, MI 48453
Phone (989) 635-4023

900 Cooper Ave
Ste 4100
Saginaw, MI 48602
Phone (989) 497-9395

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100

Organizations & group practices 9

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1619147253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-2833",
            "fax_number": "989-583-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE",
            "address_2": "SUITE 4100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-497-9395",
            "fax_number": "989-583-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "PAULINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012699",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101019088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619147253",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pwatson17665@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "900 Cooper Ave",
            "address_2": "Suite 4100",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.