JOHN M WATSON (NPI# 1366460347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366460347 |
| Entity Type | Individual |
| Full Name | JOHN M WATSON |
| Credential | MD |
| Practice Address |
5575 Kietzke Ln Reno NV 89511-2290 |
| Mailing Address |
2345 E Prater Way Ste 207 Sparks NV 89434-9634 |
| Practice Telephone | 7758511505 |
| Practice Fax Number | 7758511583 |
| Mailing Telephone | 7758511505 |
| Mailing Fax Number | 7758511583 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11947 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1366460347 | 05 | |
| CAQH | 11614959 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165557 | John Marco Watson | Student in an Organized Health Care Education/Training Program | School of Medicine, U of Pr, Medical Sciences Campus, San Juan, PR 00936 | 2020-02-05 |
| 1952787137 | John Watson | Counselor | 151 N Aspen Dr, Cortland, IL 60112-4100 | 2015-08-10 |
| 1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
| 1689965741 | John Skelly Watson | Surgery | 803 S Jackson Ave, Suite 130, Tulsa, OK 74127-9010 | 2011-04-25 |
| 1326341652 | John William Watson | Internal Medicine | 52 Lakeview Dr, Conway, AR 72032-8811 | 2010-12-08 |
| 1710102777 | John Watson | Otolaryngology | 3625 Sw Chintimini Ave, Corvallis, OR 97333-1451 | 2007-04-16 |
| 1821109778 | John Joseph Watson | Psychologist | 220 Montgomery St Ste 1019, San Francisco, CA 94104-3434 | 2006-08-31 |
| 1700999455 | John G Watson | Chiropractor | 1534 Haywood Rd, Hendersonville, NC 28791-2338 | 2006-08-16 |
| 1699782409 | John Howard Watson | Chiropractor | 232 N Broadway St, Ste 102, Greensburg, IN 47240-1792 | 2006-08-02 |
| 1972524437 | John Andrew Watson | Dermatology | 87 Mcgregor St Ste 2100, Manchester, NH 03102-3767 | 2006-07-21 |
| Street Address |
5575 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89511-2290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826282 | Christopher B Mathis | Family Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2006-01-25 |
| 1184232951 | Jocelyn Allen | Nurse Practitioner | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2020-07-17 |
| 1528676426 | Kaylie M Humphreys | Nurse Practitioner | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2020-07-16 |
| 1285013722 | Leslie Peek | Nurse Practitioner | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2015-05-28 |
| 1447640578 | Andrea L Thompson | Nurse Practitioner | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2015-01-27 |
| 1326337437 | Jeremy C. Bearfield | Family Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2011-03-30 |
| 1598907453 | Michael P. O'brien | Family Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761428 | Greenstone Physicians LLC | Internal Medicine | 280 Island Ave Apt 604, Reno, NV 89501-1802 | 2020-05-12 |
| 1861031569 | Blizz, Inc | Internal Medicine | 14235 Eagle Springs Ct, Reno, NV 89511-6773 | 2019-12-27 |
| 1285150482 | Dixon Medical Associates P.C. | Internal Medicine | 10623 Professional Cir Ste B, Reno, NV 89521-5833 | 2017-08-18 |
| 1326571001 | Kevin Thant Chaung | Internal Medicine | 1155 Mill St Ms W14, Reno, NV 89502-1576 | 2017-04-10 |
| 1215319629 | Alexander Keerthi Mylavarapu | Internal Medicine | 85 Kirman Ave Ste L1, Reno, NV 89502-1339 | 2015-06-22 |
| 1215320304 | Wells Ave Clinic | Internal Medicine | 1255 S Wells Ave, Reno, NV 89502-2504 | 2015-03-12 |
| 1104243062 | Shivani Kumra | Internal Medicine | 1155 Mill Street (w11), Reno, NV 89502-1576 | 2014-03-27 |
| 1487078838 | Kenny De Meirleir | Internal Medicine | 1664 N Virginia St # Ms 0552, Reno, NV 89557-0001 | 2014-02-05 |
| 1023439932 | Kelly King Md Pllc | Internal Medicine | 1180 Sharon Way, Reno, NV 89509-2547 | 2013-12-18 |
| 1780028407 | Thomas Edward Bateman IIi | Internal Medicine | 123 17th Street Brigham Bldg Ms 316, Reno, NV 89557-1521 | 2013-04-24 |
| Find all providers in RENO | ||||
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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.