Michael Adrian Watson, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2022004922 Issued in MO

Practice address

4770 Roemer Rd
Columbia, MO 65202-9712

Phone

(703) 509-7614

NPI assigned

Apr 3, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1992201446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 ROEMER RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652029712",
            "telephone_number": "703-509-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 ROEMER RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652029712",
            "telephone_number": "703-509-7614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "Lackland AFB",
            "state": "TX",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-208-4798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 Sijan Ave",
            "address_purpose": "LOCATION",
            "city": "Whiteman AFB",
            "state": "MO",
            "postal_code": "653051269",
            "country_code": "US",
            "telephone_number": "660-687-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHAEL",
        "middle_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2022004922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Marie Watkins
• Addison Ryan Watson, DNP, RN, EMT-P
• Brittany Renae Watson
• Cara Noelle Watson, M.D.
• Damara Lynn Watson
• Myra June Watson, D.O.
• Sadie Watson, MD
• Tanya J Watson, MSW, LCSW
• Dianna Marie Watts, CNM
• Richard Weachter, MD

• General Practice Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.