Active NPI
Carol L. Watson, MD, LLC
- Obstetrics & Gynecology Physician
- Avon, CT
National Provider Identifier
1689949653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CAROL L. WATSON, MD, LLC
- Practice address
- 30 W Avon Rd
Suite D
Avon, CT 06001-3678 - Phone
- (860) 404-2137
- Fax
- (860) 404-7204
- NPI assigned
- Mar 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Carlson
- Title
- Project Manager
- Phone
- (856) 356-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
30 W Avon Rd
Suite D
Avon, CT 06001-3678
Mailing address
601 Chapel Ave E
Suite B
Cherry Hill, NJ 08034-1454
Phone (856) 356-4000
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Avon, CT
- NPI 1861597189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1689949653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CHAPEL AVE E",
"address_2": "SUITE B",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341454",
"telephone_number": "856-356-4000",
"fax_number": "856-414-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W AVON RD",
"address_2": "SUITE D",
"city": "AVON",
"state": "CT",
"postal_code": "060013678",
"telephone_number": "860-404-2137",
"fax_number": "860-404-7204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL L. WATSON, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-09",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PROJECT MANAGER",
"authorized_official_telephone_number": "856-356-4000"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.