Active NPI
Annette Watson, MD
- Pediatrics Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-061600-L
- Practice address
- 1111 Medical Center Blvd Ste N208
Marrero, LA 70072-3153 - Phone
- (504) 349-6228
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-061600-L | PA | Primary |
Addresses
Primary practice location
1111 Medical Center Blvd Ste N208
Marrero, LA 70072-3153
Mailing address
120 Ochsner Blvd Ste 100
Gretna, LA 70056-5247
Phone (504) 391-7565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001755816 | Medicaid | PA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-061600-L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Haydel MD a Medical Corporation | Pediatrics | Current | Accepting new patients |
Locations
120 Ochsner Blvd
Ste 100
Gretna, LA 70056
Phone (504) 290-8330
1111 Medical Center Blvd
Ste 208
Marrero, LA 70072
1111 Medical Center Blvd
Ste N
Marrero, LA 70072
1111 Medical Center Blvd
Ste 2
Marrero, LA 70072
1111 Medical Center Blvd
Ste N208
Marrero, LA 70072
Phone (504) 349-6228
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.
-
- Pediatrics Physician
- Marrero, LA
- NPI 1730231762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1811911191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 OCHSNER BLVD STE 100",
"city": "GRETNA",
"state": "LA",
"postal_code": "700565247",
"telephone_number": "504-391-7565",
"fax_number": "504-391-7568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD STE N208",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723153",
"telephone_number": "504-349-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD-061600-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001755816",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.