Individual provider Active NPI

Michael C Watson, P.A.

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1861787368
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02898 Issued in TX
Practice address
1005 E Nolana Loop
McAllen, TX 78504-6101
Phone
(956) 686-6510
Fax
(956) 686-2942
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02898 TX Primary

Addresses

Primary practice location

1005 E Nolana Loop
McAllen, TX 78504-6101

Mailing address

1005 E Nolana Loop
McAllen, TX 78504-6101
Phone (956) 686-6510

Other practice location 1

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-4599

Other identifiers 2

IdentifierTypeStateIssuer
PA60846633OtherWASTATE LICENSE
PA02898OtherTXSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000089 TX Practitioner - Physician Assistant 1850561010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Inpatient Services PLLCGroup PAC ID 3678821469, 23 clinicians
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-2044

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

5501 S Expressway
Suite 77
Harlingen, TX 78550-3213
Phone (956) 365-1000

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Nov 1, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 1, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1861787368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E NOLANA LOOP",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046101",
            "telephone_number": "956-686-6510",
            "fax_number": "956-686-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E NOLANA LOOP",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046101",
            "telephone_number": "956-686-6510",
            "fax_number": "956-686-2942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-4599",
            "fax_number": "509-474-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA60846633",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA02898",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.