JERRY B WATSON (NPI# 1073838439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073838439 |
Entity Type | Individual |
Full Name | JERRY B WATSON |
Credential | P.T. |
Practice Address |
8324 La Camila Rd Ne Albuquerque NM 87110-2420 |
Practice Telephone | 5054003963 |
Mailing Telephone | 5054003963 |
Enumeration Date | 2010-03-29 |
Last Update Date | 2010-03-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2347 | NM | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316902976 | Jerry Ray Watson | Orthopaedic Surgery | 250 Sundance Ct, Steamboat Springs, CO 80487-3058 | 2006-04-18 |
1962480293 | Jerry Franklin Watson | Surgery | 301 8th St, N Wilkesboro, NC 28659-4127 | 2006-01-06 |
1336759448 | Jerry Lee Watson IIi | Technician, Other | 1001 Laurence Ave, Jackson, MI 49202-2979 | 2020-08-04 |
1285273045 | Jerry Watson | Social Worker | 8566 Cordes Cir, Germantown, TN 38139-3317 | 2019-12-27 |
1225176456 | Jerry Watson | Social Worker | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2007-02-01 |
1497771216 | Jerry Lynn Watson | Radiology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-07-14 |
1174519896 | Jerry E Watson | Internal Medicine | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2005-09-27 |
Street Address |
8324 LA CAMILA RD NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-2420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033733043 | Forest Neal Jarnagin | Clinic/Center | 6400 Natalie Ave Ne, Albuquerque, NM 87110-1308 | 2020-06-04 |
1104366533 | La Luz Therapy Services | Clinic/Center | 5400 Sevilla Ave Nw Ste E, Albuquerque, NM 87120-1853 | 2017-03-04 |
1316485352 | Level Physical Therapy LLC | Clinic/Center | 2801 Girard Blvd Ne, Ste L, Albuquerque, NM 87107-1936 | 2017-02-10 |
1629444278 | Thrive Therapy | Clinic/Center | 3811 Academy Parkway South Ne, Albuquerque, NM 87109-4410 | 2015-08-18 |
1407234917 | Balanced Physical Therapy and Wellness LLC | Clinic/Center | 6100 Chamblee Ct Ne, Albuquerque, NM 87111-7242 | 2015-05-16 |
1851713663 | Armada Physical Therapy of Albuquerque LLC | Clinic/Center | 6400 Jefferson St Ne Ste 200, Albuquerque, NM 87109-3491 | 2014-01-13 |
1033476106 | Lovelace | Clinic/Center | 10511 Golf Course Rd Nw Ste 104, Albuquerque, NM 87114-5917 | 2012-04-13 |
1386943041 | Giant Strides Therapy, LLC | Clinic/Center | 7111 Gettysburg Rd Ne, Albuquerque, NM 87109-5021 | 2011-03-21 |
1215187430 | Patrick Joseph Morrissey | Clinic/Center | 6124 Rosetree Pl Ne, Albuquerque, NM 87111-7201 | 2008-09-24 |
1669658159 | Arc Therapy Services LLC | Clinic/Center | 300 Valencia Dr Se, Albuquerque, NM 87108-3058 | 2008-01-14 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on JERRY B WATSON.
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.