Daryl C Watson, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

MD050257L Issued in PA

Practice address

9150 Marshall St Ste 2
Philadelphia, PA 19114-2217

Phone

(215) 464-4450

Fax

(215) 464-0445

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Soar Corp

  • Methadone Clinic
  • Philadelphia, PA
  • NPI 1023287711
  Medicare reassignment NPD
• Soar Corp

  • Methadone Clinic
  • Levittown, PA
  • NPI 1043765621
  NPD
• Soar Corp

  • Methadone Clinic
  • Lansdowne, PA
  • NPI 1376863043
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1912926718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-464-4450",
            "fax_number": "215-464-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MARSHALL ST STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142217",
            "telephone_number": "215-464-4450",
            "fax_number": "215-464-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DARYL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD050257L",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD050257L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE NUMBER",
            "identifier": "MD050257L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Blair Huggins Watson, M.D.
• Andre Steven Watson, PSY.D.
• Ar'Reon Watson
• Barbara M. Watson, PHD
• Brittani Watson, CRNP
• Donovan Andre Watson, MD
• Dovie Watson, M.D.
• Elise Marie Watson, LSW
• Ellen Watson, LCSW
• Ernest A Watson Jr., D.C.

• Addiction Medicine (Internal Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Addiction Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.

Verify at the official NPI Registry.