Individual provider Active NPI

Alec Watson, MD

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1629455449
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
TBD Issued in OK
Practice address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone
(918) 579-1000
NPI assigned
Apr 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2018032434 MO
Emergency Medicine Physician 207P00000X TBD OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Tulsa, OK 74104-4012

Mailing address

4502 E 41St St
Tulsa, OK 74135-2536
Phone (918) 579-2367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MO, KS, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170523002160 OK Practitioner - Emergency Medicine 1254610637 Reassigns benefits to 2 organizations
I20190109002918 MO Practitioner - Emergency Medicine 1254610637 Reassigns benefits to 11 organizations
I20190314000179 KS Practitioner - Emergency Medicine 1254610637 Reassigns benefits to 1 organization
I20230315000647 TX Practitioner - Emergency Medicine 1254610637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TBDOKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 1, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince Jun 28, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince Jun 28, 2023 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Mercy Hospital Cassville CurrentSince Jun 28, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Jun 28, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Jun 28, 2023 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Dec 5, 2018 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Mercy Hospital Carthage CurrentSince Jun 28, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jun 28, 2023 Accepting new patients
Native Wound Therapy CurrentSince Jul 1, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince Jun 28, 2023 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Mercy Hospital Carthage Emergency Medicine CurrentSince Jun 28, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jun 28, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Leflore County Hospital Authority Past Accepting new patients
Ahs Pryor Hospital, LLC Past Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

7690 E 126th St S
Ste D
Bixby, OK 74008
Phone (918) 600-2701

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: awatson119665@ahs.direct-ci.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1629455449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352536",
            "telephone_number": "918-579-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ALEC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2018032434",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.