Sanford Watkins, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M3109 Issued in TX

Practice address

709 Hollybrook Dr
Suite 4500
Longview, TX 75605-2411

Phone

(903) 757-6042

Fax

(903) 232-8233

NPI assigned

Dec 20, 2005

Last updated

Aug 17, 2012By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devin F Brecheen, PA

  • Physician Assistant
  • Longview, TX
  • NPI 1447534854
  Medicare reassignment
• Marcus Dale Turney, RN, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1144610106
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angelina Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1518397298
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Concord North Texas, PLLC

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1952761173
  Medicare reassignment NPD
• Ess of Port Lavaca LLC

  • Emergency Medicine Physician
  • Port Lavaca, TX
  • NPI 1922546936
  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Webb Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1770543555
  Medicare reassignment NPD
• Wellness & Care Group of Texas, Inc.

  • General Practice Physician
  • Plano, TX
  • NPI 1487964870
  Medicare reassignment NPD
• Jaaca Medical

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1235487638
  NPD (past) Authorized official
• Bellville Hospital District

  dba Bellville General Hospital

  • General Acute Care Hospital
  • Bellville, TX
  • NPI 1457358103

  Emergency Medicine

  NPD (past)
• Diagnostic Clinic of Longview PA

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1386638468
  NPD (past)
• Sabine County Hospital District

  dba Sabine County Hospital

  • General Acute Care Hospital
  • Hemphill, TX
  • NPI 1508862921

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1992781090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 4500",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-757-6042",
            "fax_number": "903-232-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 4500",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-757-6042",
            "fax_number": "903-232-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SANFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00387831",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178792103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Warren
• Wendy L Warren
• Nia Lynshun Washington
• Kaylee Waskom, LVN
• Treva R Waters-Barham, LPC
• Tammy Watson-Smith
• Babette Watson
• Michaela Watson, LPC
• Robin Turner Watson, APRN, PMHNP-BC
• Ashlee Watterson, LCDC

• Internal Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.