Active NPI
Shawn Todd Watson, M.D.
- Emergency Medicine Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17232
- Practice address
- 5000 Hennessy Blvd
Baton Rouge, LA 70808-4375 - Phone
- (225) 765-7163
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17232 | MS | Primary |
Addresses
Primary practice location
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Mailing address
7128 Boyce Dr
Baton Rouge, LA 70809-1153
Phone (225) 924-1821
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1486299 | Medicaid | LA | |
| P00659887 | Other | LA | RAILROAD MCARE THRU PEPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17232 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gitter Vein Institute | Current | Accepting new patients | |
| Ascension Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Center for Vein Restoration la LLC | Past | Accepting new patients | |
| C & M Medical Services, Inc. | Past | Accepting new patients |
Locations
10101 Siegen Ln
Bldg 3B
Baton Rouge, LA 70810
Phone (225) 288-1230
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
1 Galleria Blvd
Ste 100
Metairie, LA 70001
Phone (504) 833-0111
2525 Severn Ave
Fl 4
Metairie, LA 70002
Phone (504) 780-0982
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Gonzales, LA
- NPI 1699118505
-
- Vascular Surgery Physician
- Metairie, LA
- NPI 1295095735
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Metairie, LA
- NPI 1497583207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1811938467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7128 BOYCE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091153",
"telephone_number": "225-924-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 HENNESSY BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084375",
"telephone_number": "225-765-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "SHAWN",
"middle_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "17232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1486299",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE THRU PEPA",
"identifier": "P00659887",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.