MARCY JO WATSON (NPI# 1285074260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285074260 |
| Entity Type | Individual |
| Full Name | MARCY JO WATSON |
| Credential | D.D.S. |
| Practice Address |
11615 Angus Rd Ste 101 Austin TX 78759-4064 |
| Mailing Address |
2617 Willow St # 2 Austin TX 78702-5631 |
| Practice Telephone | 5123464690 |
| Mailing Telephone | 3136410304 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
35051 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3704 W Parmer Ln, Austin, TX 787274120 | 5122557001 | |
| 305 N Heatherwilde Blvd Ste 400, Pflugerville, TX 786604197 | 5126862999 | |
| 8300 N Fm 620 Rd Ste 100, Austin, TX 787264007 | 5123310359 | |
| 11615 Angus Rd Ste 101, Austin, TX 787594064 | 5123464690 | |
| 5002 Gattis School Rd Ste 200, Hutto, TX 786342028 | 5127176049 | |
| 507 W Stan Schlueter Loop Ste 400, Killeen, TX 765423986 | 2548709886 | |
| 2150 E Palm Valley Blvd Ste 500, Round Rock, TX 786651529 | 5122181900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487936662 | Marcy Michelle Watson | Pharmacist | 3700 Frankfort Ave, Louisville, KY 40207-2557 | 2011-09-14 |
| Street Address |
11615 ANGUS RD STE 101 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1821519349 | Alireza Torabi | Dentist | 5000 W Slaughter Ln Ste 203, Austin, TX 78749-4057 | 2017-07-06 |
| 1558774554 | Austin Perio Health | Dentist | 4310 Medical Pkwy Ste 201, Austin, TX 78756-3331 | 2014-06-06 |
| 1619393469 | Enrique Cruz | Dentist | 115 Sandra Muraida Way, Apt 631, Austin, TX 78703-4696 | 2014-03-17 |
| 1568717460 | Cuong Huy Ha | Dentist | 2500 W William Cannon Dr Ste 103, Austin, TX 78745-5287 | 2012-07-17 |
| 1760798979 | Kishore Sama | Dentist | 1110 W William Cannon Dr Ste 401, Austin, TX 78745-5498 | 2010-08-25 |
| 1114165685 | Joshua Roland Chapa | Dentist | 4310 Medical Pkwy Ste 120, Austin, TX 78756-3331 | 2009-01-21 |
| 1013163260 | Siddharth Gupta | Dentist | 12319 N Mopac Expy Ste 160, Austin, TX 78758-2648 | 2008-08-07 |
| 1528286952 | Melanie Danielle Robinson | Dentist | 3305 Northland Dr Ste 204, Austin, TX 78731-5011 | 2007-04-23 |
| 1326183351 | Wan Hin Humphrey Ho | Dentist | 12854 Research Blvd, Austin, TX 78750-3222 | 2007-02-20 |
| Find all providers in AUSTIN | ||||
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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.