Organization Active NPI

Roy J Watts DO PC

  • Geriatric Medicine (Family Medicine) Physician
  • Sun City West, AZ
National Provider Identifier
1891981809
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
2156 Issued in AZ
Legal business name
ROY J WATTS DO PC
Practice address
13613 W Camino del Sol
Suite #1
Sun City West, AZ 85375-4480
Phone
(623) 546-0240
Fax
(623) 546-9877
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Roy J Watts, D.O.
Title
Owner
Phone
(623) 546-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 2156 AZ Primary

Addresses

Primary practice location

13613 W Camino del Sol
Suite #1
Sun City West, AZ 85375-4480

Mailing address

13613 W Camino del Sol
Suite #1
Sun City West, AZ 85375-4480
Phone (623) 546-0240

Other identifiers 1

IdentifierTypeStateIssuer
161977MedicaidAZ

National Provider Directory

National Provider Directory

Locations

13613 W Camino del Sol
Ste 1
Sun City West, AZ 85375
Phone (480) 757-9854

14506 W Granite Valley Dr
Ste 214
Sun City West, AZ 85375
Phone (602) 971-0268

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1891981809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 W CAMINO DEL SOL",
            "address_2": "SUITE #1",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754480",
            "telephone_number": "623-546-0240",
            "fax_number": "623-546-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13613 W CAMINO DEL SOL",
            "address_2": "SUITE #1",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754480",
            "telephone_number": "623-546-0240",
            "fax_number": "623-546-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY J WATTS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-546-0240",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "2156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161977",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.