Active NPI
Carolyn S Watson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Paducah, KY
National Provider Identifier
1871572602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25920
- Practice address
- 2501 Kentucky Ave
Paducah, KY 42003-3813 - Phone
- (270) 575-2244
- Fax
- (270) 415-7130
- NPI assigned
- Jan 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25920 | KY | Primary |
Addresses
Primary practice location
2501 Kentucky Ave
Paducah, KY 42003-3813
Mailing address
PO Box 8317
Paducah, KY 42002-8317
Phone (270) 575-2244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220014165 | Other | KY | MEDICARE RAILROAD |
| 64259203 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Kentucky College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2244
Hospital & facility affiliations
- Baptist Health Paducah
- Mercy Health - Lourdes Hospital
- Vanderbilt University Medical Center
- Caldwell Medical Center
- Livingston Hospital and Healthcare Services, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.87 of 100
- Quality
- 67.74
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Paducah, PSC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Plastic Surgery Center, Inc | Past | Accepting new patients |
Locations
1900 N Main St
Madisonville, KY 42431
Phone (270) 245-2105
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Paducah, KY
- NPI 1679563522
-
- Plastic and Reconstructive Surgery Physician
- Madisonville, KY
- NPI 1972845493
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- Critical Access Hospital
- Salem, KY
- NPI 1588640254
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1871572602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8317",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420028317",
"telephone_number": "270-575-2244",
"fax_number": "270-415-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 KENTUCKY AVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033813",
"telephone_number": "270-575-2244",
"fax_number": "270-415-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CAROLYN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "25920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "220014165",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64259203",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.