Active NPI
Pauline D Watson, D.O.
- Cardiovascular Disease Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 5101019088
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619147253 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deckerville Community Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Marlette Regional Hospital | Family Medicine | Current | Accepting new patients |
| Marlette Regional Hospital | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Deckerville Community Hospital, Inc | Current | 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.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Critical Access Hospital
- Marlette, MI
- NPI 1346325214
-
- Critical Access Hospital
- Deckerville, MI
- NPI 1619095718
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Clinic/Center
- Port Sanilac, MI
- NPI 1013799469
-
- Family Medicine Physician
- Deckerville, MI
- NPI 1164818977
-
- Family Medicine Physician
- Marlette, MI
- NPI 1730988999
-
- Specialist
- Philadelphia, PA
- NPI 1598975880
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Critical Access Hospital
- Marlette, MI
- NPI 1346325214
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.