Kevin Lee Watson Jr., M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

35.121195 Issued in OH

Practice address

215 W Bowery St FL 6
Akron, OH 44308-1069

Phone

(330) 543-4488

Fax

(330) 543-5060

NPI assigned

Jun 22, 2010

Last updated

Apr 9, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital-Physician Group

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  Medicare reassignment NPD
• Akron Children's Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD
• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital Anesthesia

  • Anesthesiology Physician
  • Boardman, OH
  • NPI 1417257601
  NPD
• Children's Hospital Medical Center of Akron

  dba Akron Children's Home Care

  • Home Infusion Agency
  • Akron, OH
  • NPI 1649485848
  NPD
• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital-Radiologists

  • Diagnostic Radiology Physician
  • Akron, OH
  • NPI 1780857797
  NPD
• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1861506560
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1790006997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST FL 6",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069",
            "telephone_number": "330-543-4488",
            "fax_number": "330-543-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST FL 6",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069",
            "telephone_number": "330-543-4488",
            "fax_number": "330-543-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OH",
            "license": "35.121195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwatson67235@direct.chmca.org",
            "affiliation": "N",
            "address_1": "215 W Bowery St Fl 6",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443081069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jazmine Watson
• Jennifer Watson
• Kadijah Tianetta Watson
• Kadocaus Watson
• Kaylin Watson, C-T
• Lacole Marie Watson
• Larry Gordon Watson, ED.S
• Lisa Watson, CNP
• Marissa Nichole Watson, MD
• Toka Watson

• Pediatric Gastroenterology Physician in Akron, OH
• Providers in Akron, OH by specialty
• Pediatric Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.