Active NPI
James Robert Watson, M.S. C.C.C.-A
- Audiologist
- Omaha, NE
National Provider Identifier
1760674121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 206
- Practice address
- 4242 Farnam St
Suite 144
Omaha, NE 68131-2806 - Phone
- (402) 552-3054
- Fax
- (402) 552-3059
- NPI assigned
- Aug 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 206 | NE | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 071 | NE |
Addresses
Primary practice location
4242 Farnam St
Suite 144
Omaha, NE 68131-2806
Mailing address
4242 Farnam St
Suite 144
Omaha, NE 68131-2806
Phone (402) 552-3054
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72-1539572-00 | Medicaid | NE | |
| 72-1539572-01 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206 | NE | MD | Audiologist |
| 071 | NE | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Ear, Nose & Throat Clinic, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1720030356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1760674121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 FARNAM ST",
"address_2": "SUITE 144",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312806",
"telephone_number": "402-552-3054",
"fax_number": "402-552-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 FARNAM ST",
"address_2": "SUITE 144",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312806",
"telephone_number": "402-552-3054",
"fax_number": "402-552-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "M.S. C.C.C.-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "206",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NE",
"license": "071",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72-1539572-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72-1539572-01",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.