Active NPI
Joseph E Watters, PA-C
- Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9112435
- Practice address
- 3100 E Fletcher Ave
Tampa, FL 33613-4613 - Phone
- (256) 504-4165
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.1143 | AL | |
| Physician Assistant | 363A00000X | 9112435 | FL | Primary |
Addresses
Primary practice location
3100 E Fletcher Ave
Tampa, FL 33613-4613
Mailing address
12802 Tampa Oaks Blvd Ste 300
Temple Terrace, FL 33637-1903
Phone (855) 687-0618
Other practice location 1
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5000
Other practice location 2
13100 Fort King Rd
Dade City, FL 33525-5294
Phone (352) 521-1100
Other practice location 3
2505 US Highway 431
Boaz, AL 35957-5908
Phone (256) 593-8310
Other practice location 4
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 83.29
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.1143 | AL | MD | Physician Assistant |
| 9112435 | FL | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1972958353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12802 TAMPA OAKS BLVD STE 300",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336371903",
"telephone_number": "855-687-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "256-504-4165"
}
],
"practiceLocations": [
{
"address_1": "2600 Bruce B Downs Blvd",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "335449207",
"country_code": "US",
"telephone_number": "813-929-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13100 Fort King Rd",
"address_purpose": "LOCATION",
"city": "Dade City",
"state": "FL",
"postal_code": "335255294",
"country_code": "US",
"telephone_number": "352-521-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2505 US Highway 431",
"address_purpose": "LOCATION",
"city": "Boaz",
"state": "AL",
"postal_code": "359575908",
"country_code": "US",
"telephone_number": "256-593-8310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7050 Gall Blvd",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335411347",
"country_code": "US",
"telephone_number": "813-788-0411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTERS",
"first_name": "JOSEPH",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.1143",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.