Kevin Watat, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5151015829 Issued in MI

Practice address

1322 E Michigan Ave Ste 300
Lansing, MI 48912-2109

Phone

(517) 253-6388

NPI assigned

Jun 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: kwatatngassa80631@sparrowdirecthie.org

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1982343240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121896",
            "telephone_number": "517-253-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE STE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122109",
            "telephone_number": "517-253-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATAT",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151015829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miana Washington
• Terrence Lamont Washington Jr.
• Washtenaw Medical Pharmacy LLC
• Jennifer Wasson, LLP
• Ramon Wasson, PEER RECOVERY COACH
• Kenton Lee Waterbrook, DO
• Emma Jane Waterstrat
• Lydia Ann Watkins, NP
• Andrea Elizabeth Watson, RN
• Brian Ray Watts, ABOC

• Internal Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.