DR. DAVID R WATT (NPI# 1164464103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164464103 |
| Entity Type | Individual |
| Full Name | DR. DAVID R WATT |
| Credential | M.D. |
| Practice Address |
2002 Medical Pkwy #450 Annapolis MD 21401-3046 |
| Practice Telephone | 4102246680 |
| Practice Fax Number | 4102244620 |
| Mailing Telephone | 4102246680 |
| Mailing Fax Number | 4102244620 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | D40106 | MD | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
D40106 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 150761300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932310489 | David Watt | Psychologist | 39155 Liberty St, Suite E500, Fremont, CA 94538-1513 | 2007-05-25 |
| 1689663874 | David H Watt | Orthopaedic Surgery | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-10-19 |
| Street Address |
2002 MEDICAL PKWY #450 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448953 | Ayanna L James | Obstetrics & Gynecology | 2002 Medical Pkwy, Suite 635, Annapolis, MD 21401-3046 | 2005-06-28 |
| 1336611466 | Lauren Mason | Social Worker | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-12-31 |
| 1184131542 | Amanda Nicole Minnitte | Physical Therapy Assistant | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-01-08 |
| 1255878526 | Maryland Medicinal LLC | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, Suite 150, Annapolis, MD 21401-3046 | 2017-01-25 |
| 1669917993 | Back To Fit Inc. | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, 150, Annapolis, MD 21401-3046 | 2016-12-22 |
| 1821549528 | Anne Arundel Physician Group, LLC | Family Medicine | 2002 Medical Pkwy, Suite 460, Annapolis, MD 21401-3046 | 2016-10-18 |
| 1114372497 | Anne Arundel Physician Group, LLC | Clinical Neuropsychologist | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2016-04-25 |
| 1487040036 | Gaurav Srivastava | Ophthalmology | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2015-04-10 |
| 1164828679 | Med-park LLC | Pharmacy | 2002 Medical Pkwy, Ste 170, Annapolis, MD 21401-3046 | 2014-11-10 |
| 1992147631 | Zachary Scott La Fratta | Audiologist | 2002 Medical Pkwy, Suite 230 Sajak Building, Annapolis, MD 21401-3046 | 2013-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205878378 | Cuong D. Vu | Ophthalmology | 2002 Medical Pkwy, #450, Annapolis, MD 21401-3046 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296610 | Retina First LLC | Ophthalmology | 1502 S Main St Ste 305, Mount Airy, MD 21771-5374 | 2020-02-06 |
| 1912423567 | Panos George Christakis | Ophthalmology | 10 Center Drive; Building 10-crc, Bethesda, MD 20892-0001 | 2017-08-16 |
| 1831620020 | Greater Baltimore Vitreoretinal Specialists, LLC | Ophthalmology | 2327 Boston St, Unit 1, Baltimore, MD 21224-3672 | 2017-03-21 |
| 1659714707 | Sidney Ariel Schechet | Ophthalmology | 9114 Philadelphia Rd Ste 310, Baltimore, MD 21237-4350 | 2013-04-08 |
| 1801057146 | Joshua Kiran Fernandes | Ophthalmology | 2101 Medical Park Dr Ste 303, Silver Spring, MD 20902-4053 | 2008-06-19 |
| 1205857349 | Robert E. Parnes, M.d., LLC | Ophthalmology | 246 Eastern Blvd N Ste 102, Hagerstown, MD 21740 | 2006-07-22 |
| 1760421929 | Michael Joel Elman | Ophthalmology | 9114 Philadelphia Road, Suite 310, Baltimore, MD 21237-2123 | 2006-06-05 |
| 1427055144 | Fadi Philip Nasrallah | Ophthalmology | 6720a Rockledge Dr Ste 200, Bethesda, MD 20817-1888 | 2005-07-07 |
| 1568973444 | Maryland Retina Institute LLC | Ophthalmology | 2919 Olney Sandy Spring Rd Ste D, Olney, MD 20832 | 2017-10-18 |
| 1235487042 | Sadiq N Syed Md LLC | Ophthalmology | 5963 Exchange Dr, Suite 108, Sykesville, MD 21784-9251 | 2012-08-28 |
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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.