SHANNON K WATTS (NPI# 1184838906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184838906 |
Entity Type | Individual |
Full Name | SHANNON K WATTS |
Credential | MD |
Practice Address |
1340 Hal Greer Boulevard Attn: Tammie Silva Huntington WV 25701-3800 |
Practice Telephone | 3045262053 |
Practice Fax Number | 3042562547 |
Mailing Telephone | 3045262053 |
Mailing Fax Number | 3045262547 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2010-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 22286 | WV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | MEDICAID | 3810011352 | 01 |
WV | MEDICARE RR | P00628003 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023678620 | Shannon Lynn Watts | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2019-06-17 |
1881050300 | Shannon Watts | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-01-13 |
1457635526 | Shannon Eller Watts | Physician Assistant | 2002 Medical Pkwy Ste 500, Annapolis, MD 21401-3268 | 2011-10-06 |
1891022927 | Shannon Watts | Speech-Language Pathologist | 169 Tequesta Dr, Suite 24e, Tequesta, FL 33469-2768 | 2009-11-10 |
1114009578 | Shannon L Watts | Pediatrics | 1540 Southtown Dr, Ste 104, Granbury, TX 76048-2682 | 2006-10-19 |
Street Address |
1340 HAL GREER BOULEVARD ATTN: TAMMIE SILVA |
City | HUNTINGTON |
State | WV |
Zip Code | 25701-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538143755 | Kevin M. Franks | Emergency Medicine | 1340 Hal Greer Boulevard, Cabell Huntington Hospital, Huntington, WV 25701-3800 | 2005-12-01 |
1811224165 | Rebecca Gail Stokes | Nurse Practitioner | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2009-11-06 |
1467650366 | Khalil Abulatifa | Internal Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2007-07-03 |
1013069046 | Bobby Lee Marcum | Nurse Practitioner | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2007-01-18 |
1790885341 | Glen S. Jordan | Physician Assistant | 1340 Hal Greer Boulevard, Cabell Huntington Hospital, Inc, Huntington, WV 25701 | 2006-09-24 |
1326068503 | Thomas E. Hamilton | Emergency Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2006-07-20 |
1891759031 | James R Bailes Jr. | Pediatrics | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
Find all providers in zip 25701 |
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 |
---|---|---|---|---|
1326652868 | Grace Health Care Pllc | Family Medicine | 223 5th Ave, Huntington, WV 25701-1809 | 2020-09-02 |
1508347238 | Catherine Lea Chapman | Family Medicine | 1530 Norway Ave - Mildred Mitchel Bateman Hospital, Huntington, WV 25705 | 2018-08-21 |
1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
1477926350 | Valley Health Systems, Inc | Family Medicine | 1 Mountwest Way, Huntington, WV 25701 | 2015-11-02 |
1689089666 | Ryan Allen | Family Medicine | 2003 Stults Rd # 100, Huntington, IN 46750-1291 | 2014-06-27 |
1700224359 | Juliette Kraydman | Family Medicine | 270 Huntington Avenue, Huntington, NY 11743 | 2013-06-05 |
1760766570 | Valley Health Systems, Inc. | Family Medicine | 730 7th Ave, Huntington, WV 25701-2116 | 2011-09-29 |
1023250305 | Rasiklal Haridas Lakhani | Family Medicine | 506 11th Ave W, Huntington, WV 25701-3032 | 2009-04-01 |
1114165784 | Cari C Burck | Family Medicine | 1115 20th St Ste 100, Huntington, WV 25703-2072 | 2009-02-04 |
1477717700 | Leigh Ann Levine, Do Pllc | Family Medicine | 2501 3rd Ave, Huntington, WV 25703-1614 | 2008-07-16 |
Find all providers in HUNTINGTON |
City | HUNTINGTON |
Zip Code | 25701 |
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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.