SHARON A WATTLEY (NPI# 1043329188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043329188 |
| Entity Type | Individual |
| Full Name | SHARON A WATTLEY |
| Credential | M.D. |
| Practice Address |
223 Cibeque Circle Road San Carlos AZ 85550-0208 |
| Mailing Address |
Po Box 208 San Carlos AZ 85550-0208 |
| Practice Telephone | 9284757219 |
| Practice Fax Number | 9284757370 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32406 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036803 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 459257 | 05 |
| Street Address |
223 CIBEQUE CIRCLE ROAD |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550-0208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659480614 | Karen Sue Heath | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1326165234 | Linda C Clark | Registered Nurse | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-03-23 |
| 1629109178 | Sally A Aday | Dietitian, Registered | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-03-08 |
| 1225163215 | Jack H. Turpen | Dentist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-02-22 |
| 1356453278 | Jeffrey D Richardson | Physical Therapist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2006-08-31 |
| 1306955596 | Bruce M. Bilder | Emergency Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1407965619 | Theresa A. Covello | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1114036282 | Chul H. Kim | Pediatrics | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1811006059 | Michael E. Hudson | Internal Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1518076595 | Bridget Raquel Swanberg-austin | Dentist | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972809705 | Arthur Francis Galla | Family Medicine | 3035 Brittan Ave, San Carlos, CA 94070-3518 | 2011-01-26 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1902082902 | Charonis Chiropractic Corporation | Family Medicine | 1682 Laurel St, Suite A, San Carlos, CA 94070-5217 | 2008-01-21 |
| 1629145040 | Richard B Barrick | Family Medicine | 1213 Eaton Ave, San Carlos, CA 94070-5233 | 2006-11-29 |
| 1659480614 | Karen Sue Heath | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1700884038 | Gulnara Tarpe | Family Medicine | 1660 San Carlos Ave, San Carlos, CA 94070 | 2005-07-11 |
| 1407223217 | Poorna Thirugnanasambandam | Family Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2015-08-27 |
| 1720406549 | Hsing Pao | Family Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2014-03-29 |
| 1407291602 | Kester I Wong | Family Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2013-05-02 |
| 1699119503 | Luis Angel Rodriguez | Family Medicine | 223 Cibecue Circle, San Carlos Phs Indian Hospital, San Carlos, AZ 85550-0208 | 2013-04-22 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
Please comment or provide details below to improve the information on SHARON A WATTLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.