DR. HERMAN WATSON (NPI# 1306815485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306815485 |
| Entity Type | Individual |
| Full Name | DR. HERMAN WATSON |
| Credential | M.D. |
| Practice Address |
1734 E 63rd St Suite 460 Kansas City MO 64110-3543 |
| Mailing Address |
209 Nw Ponderosa St Lees Summit MO 64064-1462 |
| Practice Telephone | 8165231177 |
| Practice Fax Number | 8165232521 |
| Mailing Telephone | 8165231177 |
| Mailing Fax Number | 8165232521 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R6315 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 10000400A | 05 | |
| MO | 200473916 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972511616 | Herman William Watson Jr. | Pharmacist | 6439 Garners Ferry Rd, Dorn Va Medical Center, Columbia, SC 29209-1638 | 2006-08-04 |
| Street Address |
1734 E 63RD ST SUITE 460 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64110-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074406 | Bertram Caruthers Jr. | Dermatology | 1734 E 63rd St, Ste 470, Kansas City, MO 64110-5341 | 2005-06-25 |
| 1033653928 | Reflection of Reality | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St, Suite # 312, Kansas City, MO 64110-3543 | 2016-12-12 |
| 1528510666 | A Life At Home Health Care LLC | In Home Supportive Care | 1734 E 63rd St, Ste 210 A, Kansas City, MO 64110-3543 | 2016-10-25 |
| 1720535404 | A Blessed Choice of Care,llc | In Home Supportive Care | 1734 E 63rd St, Suite 422, Kansas City, MO 64110-3543 | 2016-09-09 |
| 1023411055 | A Lifes Journey, LLC | Counselor | 1734 E 63rd St, Suite 504, Kansas City, MO 64110-3543 | 2014-10-05 |
| 1255637880 | A Sweet Relief In-home Health Care Services LLC | In Home Supportive Care | 1734 E 63rd St, Ste. 214, Kansas City, MO 64110-3543 | 2011-01-29 |
| 1689981441 | Clayview Home Health Services Inc | Home Health | 1734 E 63rd St, 208, Kansas City, MO 64110-3543 | 2010-08-31 |
| 1760703011 | Lifestyle Home Care LLC | In Home Supportive Care | 1734 E 63rd St, Suite 600 E, Kansas City, MO 64110-3543 | 2010-06-21 |
| 1184947129 | Louis C Manuel, M.d. Eye Services, Inc. | Clinic/Center | 1734 E 63rd St, Ste 501, Kansas City, MO 64110-3543 | 2010-03-04 |
| 1962733667 | Andrea R Stricklin | Massage Therapist | 1734 E 63rd St, Ste 410, Kansas City, MO 64110-3543 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| 1801361316 | Clayton Cloud | Specialist/Technologist | 5030 Holmes Street, Kansas City, MO 64110 | 2018-10-11 |
| 1053803510 | Humanity Homecare LLC | In Home Supportive Care | 1734 E 63rd St Ste 208, Kansas City, MO 64110 | 2018-05-31 |
| 1316438658 | Brink Healthmeds | Pharmacy | 1620 East 63rd Street, Kansas City, MO 64110 | 2018-05-22 |
| 1578003984 | 1st Action Home Health LLC | In Home Supportive Care | 1734 E 63rd St Ste 407, Kansas City, MO 64110 | 2017-03-03 |
| 1316212285 | Leah Karma Probasco-burns | Counselor | 633 E 63rd St Ste 230, Kansas City, MO 64110 | 2012-03-12 |
| 1093088007 | Amanda Kinsey | Speech-Language Pathologist | 4848 Woodland Ave, Kansas City, MO 64110 | 2012-02-22 |
| 1952612673 | Braxton Baker | Speech-Language Pathologist | 4341 Locust St, Kansas City, MO 64110 | 2010-06-28 |
| 1902031529 | Candice A Robinson Law | Optometrist | Brookside Eye Care Center, 520 E 63rd Street, Kansas City, MO 64110 | 2009-05-27 |
| 1942446232 | School District of Kansas City, Missouri | Clinic/Center | 4747 Flora, Kansas City, MO 64110 | 2008-12-17 |
| Find all providers in zip 64110 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164913497 | Gina Marie Savage | Specialist | 2400 Troost Ave Ste 3400, Kansas City, MO 64108-2666 | 2018-05-22 |
| 1124472451 | Lianne Carr | Specialist | 5200 Ne Vivion Rd, Kansas City, MO 64119-2941 | 2016-04-23 |
| 1457752925 | Mallory Drake | Specialist | 12801 Saint Andrews Dr, Kansas City, MO 64145-1229 | 2014-09-15 |
| 1306256870 | Brittany Slater | Specialist | 8523 Parallel Pkwy Apt 11, Kansas City, KS 66112-1772 | 2014-05-05 |
| 1023439304 | Alisha Cupid | Specialist | 7340 Leavenworth Rd, Kansas City, KS 66109-1226 | 2014-01-03 |
| 1255588802 | Rebecca Denise Miles | Specialist | 8715 Holmes Rd, Student Services Dept., Kansas City, MO 64131-2802 | 2008-08-26 |
| 1427225200 | Tenney Pediatrics and Adolescents Medicine LLC | Specialist | 6501 E 87th St, Kansas City, MO 64138-2732 | 2008-05-12 |
| 1982877668 | Prospect Health Services LLC | Specialist | 3129 Benton Blvd, Kansas City, MO 64128-1556 | 2008-04-02 |
| 1215109616 | Judith M Gross | Specialist | 2737 N 68th St, Kansas City, KS 66109-1845 | 2008-03-26 |
| 1245425834 | Kenneth Wayne Kidd | Specialist | 1148 W 103rd St, Kansas City, MO 64114-4511 | 2007-09-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64110 |
Please comment or provide details below to improve the information on DR. HERMAN 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.