KENNETH R. WATSON JR. (NPI# 1063408565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063408565 |
| Entity Type | Individual |
| Full Name | KENNETH R. WATSON JR. |
| Credential | D.O. |
| Practice Address |
3212 Scotts Blf Norman OK 73072-4873 |
| Practice Telephone | 4057619107 |
| Mailing Telephone | 4057619107 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2014-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3796 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100137090A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699090993 | Kenneth Lee Watson | Physical Therapy Assistant | 15032 Poquessing Creek Ln, Philadelphia, PA 19116-1531 | 2010-03-30 |
| 1033241484 | Kenneth Lamont Watson | Counselor | 1423 Kirkwood Highway & Polly Drummond Rd, Suites 3304 &3305, Newark, DE 19701 | 2007-03-12 |
| 1114905221 | Kenneth R Watson | Pathology | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2006-01-09 |
| 1346227030 | Kenneth Ray Watson | Chiropractor | 3609 South Blvd., Suite B, Charlotte, NC 28209 | 2005-12-23 |
| 1316454002 | Kenneth Maxwell Watson | Nurse Anesthetist, Certified Registered | 777 Hemlock St, Macon, GA 31201-2102 | 2018-01-04 |
| 1841730538 | Kenneth Watson | Chiropractor | 7800 N Mopac Expy Ste 340, Austin, TX 78759-8962 | 2017-03-01 |
| 1790190122 | Kenneth Watson | Pharmacist | 310 Glades Rd, Berea, KY 40403-1355 | 2014-06-24 |
| 1174596068 | Kenneth W Watson | Nurse Anesthetist, Certified Registered | 902 N 7th St, Cordele, GA 31015 | 2006-02-10 |
| Street Address |
3212 SCOTTS BLF |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-4873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094184 | Ryan D Wilson | Emergency Medicine | 800 24th Ave, Norman, OK 73069 | 2005-09-23 |
| 1689660193 | John S. Yuthas | Emergency Medicine | 4716 Lake Front Rd, Norman, OK 73072-9744 | 2005-09-21 |
| 1972536167 | Marcia Lee Hoos-reinke | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2006-07-09 |
| 1427046671 | Jason K. Benn | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-10-12 |
| 1932197183 | Diane Means Means | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-10-12 |
| 1689660847 | Lance D. Williams | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-09-23 |
| 1912993189 | Shelly R. Zimmerman | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-09-23 |
| 1255327482 | Terry J. Hill | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-09-22 |
| 1679569818 | Martin D. Mcbee | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-09-22 |
| 1548256043 | Marshall L. Rea | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2005-09-21 |
| Find all providers in NORMAN | ||||
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| 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.