Individual provider Active NPI

John Andrew Watson, M.D.

  • Dermatology Physician
  • Manchester, NH
National Provider Identifier
1972524437
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10293 Issued in NH
Practice address
87 McGregor St Ste 2100
Manchester, NH 03102-3767
Phone
(603) 626-7546
Fax
(603) 626-7548
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10293 NH Primary

Addresses

Primary practice location

87 McGregor St Ste 2100
Manchester, NH 03102-3767

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 849-7507

Other practice location 1

589 W Hollis St
Nashua, NH 03062-1310
Phone (603) 577-4000

Other practice location 2

589 W Hollis St
Nashua, NH 03062-1310
Phone (603) 577-4000

Other identifiers 1

IdentifierTypeStateIssuer
30011310MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20180113000016 MA Practitioner - Dermatology 7113948530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apderm North, PC Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jwatson@apderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972524437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-849-7507",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST STE 2100",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023767",
            "telephone_number": "603-626-7546",
            "fax_number": "603-626-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "589 W Hollis St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030621310",
            "country_code": "US",
            "telephone_number": "603-577-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "589 W Hollis St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030621310",
            "country_code": "US",
            "telephone_number": "603-577-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "10293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011310",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.