Hallet N Watz, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

21874 Issued in CO

Practice address

2222 N Nevada Ave
Colorado Springs, CO 80907-6831

Phone

(719) 766-5333

Fax

(719) 766-5651

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Serio South Carolina, LLC

  • Emergency Medicine Physician
  • Columbia, SC
  • NPI 1699006593
  NPD Authorized official
• Emergency Associates of Wyoming, LLC

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1124041140
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1770531105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 W MINERAL AVE",
            "address_2": "SUITE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205685",
            "telephone_number": "303-759-0854",
            "fax_number": "303-759-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076831",
            "telephone_number": "719-766-5333",
            "fax_number": "719-766-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATZ",
        "first_name": "HALLET",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "21874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01218742",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930027391",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abrianna Watts
• Chad Michael Watts, D.M.D
• Dillon Gene Watts, DMD
• Kendall Watts, BS, MA
• Kimberley Watts, BCBA
• Amanda Dawn Waugh, PHYSICIAN ASSISTANT
• Dana Karon Waugh
• David Waugh
• Halie Elizabeth Waxon
• Timothy Victor Waxweiler, M.D.

• Emergency Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.