Active NPI
Libby Susan Watch, MD
- Vascular Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 109569
- Practice address
- 8950 N Kendall Dr
504
Miami, FL 33176-2144 - Phone
- (305) 274-2030
- Fax
- (305) 279-0878
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME109569 | FL | |
| Vascular Surgery Physician | 2086S0129X | 109569 | FL | Primary |
Addresses
Primary practice location
8950 N Kendall Dr
504
Miami, FL 33176-2144
Mailing address
8950 N Kendall Dr
504
Miami, FL 33176-2144
Phone (305) 274-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004273400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|
| 109569 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PVL Associates Inc | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Current | Accepting new patients | |
| Radiology Associates of South Florida LLC | Current | Accepting new patients | |
| American Access Care of Miami, LLC | Current | Accepting new patients | |
| Surgical Group of Miami LLC | Vascular Surgery | Current | Accepting new patients |
Locations
975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000
9200 S Dadeland Blvd
Ste 101
Miami, FL 33156
Phone (305) 670-1044
9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000
8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950
8950 N Kendall Dr
Ste 504
Miami, FL 33176
Phone (270) 313-7347
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
5000 University Dr
Miami, FL 33146
Phone (305) 666-2111
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
9200 S Dadeland Blvd
Ste 204
Miami, FL 33156
Phone (305) 670-1044
8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575
1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
8770 SW 144th St
Palmetto Bay, FL 33176
Phone (305) 252-9408
151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
Interoperability endpoints
- libby.watch.p92@direct.aac.nextgenshare.com
- libby.watch.p21@direct.aac.nextgenshare.com
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1104852326
-
- Vascular Surgery Physician
- Miami, FL
- NPI 1861495293
-
- Diagnostic Radiology Physician
- Longview, TX
- NPI 1699759183
FL
-
- Vascular & Interventional Radiology Physician
- Miami, FL
- NPI 1982371209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1831238864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 N KENDALL DR",
"address_2": "504",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762144",
"telephone_number": "305-274-2030",
"fax_number": "305-279-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 N KENDALL DR",
"address_2": "504",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762144",
"telephone_number": "305-274-2030",
"fax_number": "305-279-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATCH",
"first_name": "LIBBY",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME109569",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "109569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004273400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.