Active NPI
Justen Watkins, DO
- General Practice Physician
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11532150-1204
- Practice address
- 41 E 400 N # 332
Logan, UT 84321-4020 - Phone
- (435) 640-6290
- NPI assigned
- Mar 10, 2014
- Last updated
- Feb 25, 2026
- 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 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 02008598A | IN | |
| General Practice Physician | 208D00000X | OP61562134 | WA | |
| General Practice Physician | 208D00000X | V1915 | TX | |
| General Practice Physician | 208D00000X | 007214 | AZ | |
| General Practice Physician | 208D00000X | O-2007 | ID | |
| General Practice Physician | 208D00000X | 0073339 | CO | |
| General Practice Physician | 208D00000X | 20A13585 | CA | |
| General Practice Physician | 208D00000X | DO221295 | OR | |
| General Practice Physician | 208D00000X | DO2475 | NV | |
| General Practice Physician | 208D00000X | 11532150-1204 | UT | Primary |
| General Practice Physician | 208D00000X | OS23115 | FL | |
| General Practice Physician | 208D00000X | 05-45247 | KS | |
| General Practice Physician | 208D00000X | 2024017172 | MO | |
| General Practice Physician | 208D00000X | 34.018173 | OH |
Addresses
Primary practice location
41 E 400 N # 332
Logan, UT 84321-4020
Mailing address
41 E 400 N # 332
Logan, UT 84321-4020
Phone (435) 640-6290
Other practice location 1
2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone (203) 666-8145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, KS, UT, TX, NV, ID, WY, MO, OR, WA, CO, IN, OH, AZ, KY, NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 17
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Chesterfield Bus Pkwy
FL 2
Chesterfield, MO 63005-1271
Phone (203) 666-8145
111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145
12100 Wilshire Blvd
FL 8
Los Angeles, CA 90025-7120
Phone (203) 666-8145
1400 112TH Ave SE
Bellevue, WA 98004-6901
Phone (203) 666-8145
2 N Central Ave
Suite 1800
Phoenix, AZ 85004-2139
Phone (203) 666-8145
21 E State St
Suite 200
Columbus, OH 43215-0109
Phone (203) 666-8145
221 River St
Suite 9
Hoboken, NJ 07030-5990
Phone (203) 666-8145
2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (203) 666-8145
2700 E 12TH St
Cheyenne, WY 82001-5604
Phone (203) 666-8145
325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (203) 666-8145
3450 N Triumph Blvd
Suite 102
Lehi, UT 84043-6132
Phone (203) 666-8145
3597 E Monarch Sky LN
Suite 240
Meridian, ID 83646-1055
Phone (203) 666-8145
424 Lewis Hargett Cir
FL 2
Lexington, KY 40503-3688
Phone (203) 666-8145
7300 W 110TH St
Overland Park, KS 66210-2332
Phone (203) 666-8145
75 Shore Dr
Saint Helens, OR 97051-1125
Phone (203) 666-8145
7535 E Hampden Ave
Suite 400
Denver, CO 80231-4844
Phone (203) 666-8145
9465 Counselors Row
Suite 200
Indianapolis, IN 46240-3817
Phone (203) 666-8145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13585 | CA | MD | Optometrist |
| 007214 | AZ | MD | General Practice Physician |
| 20A13585 | CA | MD | General Practice Physician |
| 0073339 | CO | MD | General Practice Physician |
| OS23115 | FL | MD | General Practice Physician |
| 02008598A | IN | MD | General Practice Physician |
| 05-45247 | KS | MD | General Practice Physician |
| 2024017172 | MO | MD | General Practice Physician |
| DO2475 | NV | MD | General Practice Physician |
| 34.018173 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chess Medical, P.C. | Current | Accepting new patients | |
| County of Lane | Current | Accepting new patients | |
| Living Tree Medical Group | Current | Accepting new patients | |
| Switzer Medical, PC | General Practice | Current | Accepting new patients |
| Precision Occupational Medical Group, Inc. | Current | Accepting new patients | |
| Compre Hensive Primary Care Medical Associates, Inc | Current | Accepting new patients | |
| Tapestry Telehealth PLLC | Current | Accepting new patients | |
| Teresa L Cope PLLC | Past | Accepting new patients | |
| Peak Health LLC | Past | Accepting new patients |
Locations (25 of 34)
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719
7774 Cherry Ave
Fontana, CA 92336
Phone (909) 355-1296
2151 Michelson Dr
Ste 225
Irvine, CA 92612
Phone (949) 298-3200
12100 Wilshire Blvd
Fl 8
Los Angeles, CA 90025
Phone (317) 658-5000
1800 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 355-1296
500 Geneva St
Aurora, CO 80010
Phone (303) 364-9311
7535 E Hampden Ave
Ste 400
Denver, CO 80231
Phone (303) 229-6393
99 Hawley Ln
Ste 1102
Stratford, CT 06614
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
6000 W Denton St
Boise, ID 83704
Phone (208) 230-8525
3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519
203 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 661-5100
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
7300 W 110th St
Overland Park, KS 66210
Phone (620) 302-1077
7300 W 110th St
Fl 7
Overland Park, KS 66210
Phone (650) 761-4056
424 Lewis Hargett Cir
Fl 2
Lexington, KY 40503
Phone (859) 285-6485
100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585
1127 Timber Run Dr
Saint Louis, MO 63146
Phone (314) 317-2003
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065
75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713
325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696
10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Woods Cross, UT
- NPI 1689553158
-
dba Tapestry Telehealth California
- Internal Medicine Physician
- Pleasanton, CA
- NPI 1194315564
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
AZ, CO, FL, ID, IN, KS, KY, MO, NJ, NV, OR, TX, UT, WA, WY
-
- Family Medicine Physician
- Logan, UT
- NPI 1639754583
-
dba West Point Medical Center
- Family Medicine Physician
- Fontana, CA
- NPI 1982786620
-
- Geriatric Medicine (Internal Medicine) Physician
- Hoboken, NJ
- NPI 1194518134
KS, KY, MO
-
- General Practice Physician
- Phoenix, AZ
- NPI 1154259117
-
- General Practice Physician
- St Petersburg, FL
- NPI 1306776059
-
dba Lane County Hospital
- Medicare Defined Swing Bed Hospital Unit
- Dighton, KS
- NPI 1477516565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1689090060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 E 400 N # 332",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214020",
"telephone_number": "435-640-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E 400 N # 332",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214020",
"telephone_number": "435-640-6290"
}
],
"practiceLocations": [
{
"address_1": "2300 W SAHARA AVE STE 800",
"address_purpose": "LOCATION",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891024397",
"country_code": "US",
"telephone_number": "203-666-8145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "JUSTEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-10",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "02008598A",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "OP61562134",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "V1915",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "007214",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "O-2007",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "0073339",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A13585",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "DO221295",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "DO2475",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "UT",
"license": "11532150-1204",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS23115",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KS",
"license": "05-45247",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2024017172",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34.018173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.