DR. DEREK PHILIP WATSON (NPI# 1255524435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255524435 |
| Entity Type | Individual |
| Full Name | DR. DEREK PHILIP WATSON |
| Credential | MD |
| Practice Address |
11200 Governor Manly Way Ste 309 Raleigh NC 27614-7375 |
| Mailing Address |
Po Box 1107 Wake Forest NC 27588-1107 |
| Practice Telephone | 9195629410 |
| Practice Fax Number | 9195622948 |
| Mailing Telephone | 9195629410 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2008-00177 | NC | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 2008-00177 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6602 Knightdale Blvd Ste 310, Knightdale, NC 275456526 | 9195629410 | 9195622948 |
| 200 W Parkview Dr Ste B, Henderson, NC 275365958 | 9195629410 | 9195622948 |
| 103 Professional Park Ste A, Oxford, NC 275652581 | 9195629410 | 9195622948 |
| 2605 Blue Ridge Rd Ste 320, Raleigh, NC 276076475 | 9195629410 | 9195622948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699883454 | Derek Scott Watson | Surgery | 727 Se Main St, Suite 130, Simpsonville, SC 29681-3247 | 2006-08-29 |
| Street Address |
11200 GOVERNOR MANLY WAY STE 309 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659325686 | Thomas John Zuber | Family Medicine | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2006-05-22 |
| 1578174033 | Robyn Elizabeth Jeffrey | Physical Therapy Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2020-08-10 |
| 1649805920 | Daniel Castle | Physician Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2020-03-07 |
| 1285268805 | Javier Arteaga | Physical Therapist | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2020-02-24 |
| 1235774886 | Chelsea Schuman | Physical Therapist | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2019-11-07 |
| 1265087076 | Lauren Wells Queen | Physician Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2019-08-08 |
| 1033681374 | Elizabeth Surovec Williams | Physician Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2018-12-27 |
| 1356821086 | Maggie Elizabeth Mclaughlin | Physician Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614 | 2018-08-21 |
| 1023504743 | Madeleine Rebecca Breen | Physician Assistant | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614 | 2018-07-05 |
| 1770002164 | Ashlee Nicole Dunlevy | Specialist/Technologist | 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | 2017-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1881986255 | Jiyoung Ryu | Physical Medicine & Rehabilitation | 8601 Six Forks Rd, Suite 400, Raleigh, NC 27615-5276 | 2011-05-04 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1043497589 | Phytcare LLC | Physical Medicine & Rehabilitation | 1911 Falls Valley Drive, Suite 100, Raleigh, NC 27615-0000 | 2008-01-28 |
| 1770784191 | Angela Renee Lipscomb-hudson | Physical Medicine & Rehabilitation | 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 | 2007-05-31 |
| 1801914833 | Gunvantray Kirchand Doshi | Physical Medicine & Rehabilitation | 7220 6 Stonecliff Drive, Raleigh, NC 27615 | 2007-03-27 |
| 1912084617 | Aysel Atli | Physical Medicine & Rehabilitation | 8300 Health Park Ste 109, Raleigh, NC 27615 | 2006-11-01 |
| 1164439238 | Scott Steven Sanitate | Physical Medicine & Rehabilitation | 1408 Morningsdale Dr., Raleigh, NC 27609 | 2006-08-02 |
| 1316988140 | Mark Reznik | Physical Medicine & Rehabilitation | 10880 Durant Rd Ste 324, Raleigh, NC 27614-6629 | 2006-06-10 |
| 1518931666 | Carolina Spine Specialists Pa | Physical Medicine & Rehabilitation | 4030 Wake Forest Rd, Suite 102, Raleigh, NC 27609 | 2006-02-15 |
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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.