DR. CHARLES REGINALD WATTS (NPI# 1427001171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427001171 |
Entity Type | Individual |
Full Name | DR. CHARLES REGINALD WATTS |
Credential | M.D. |
Practice Address |
3931 Louisiana Ave S St Louis Park MN 55426-5000 |
Practice Telephone | 9529933230 |
Practice Fax Number | 9529931748 |
Mailing Telephone | 9529933230 |
Mailing Fax Number | 9529331748 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2019-06-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207T00000X | Neurological Surgery | 61864 | WI | Allopathic & Osteopathic Physicians |
Y | 207T00000X | Neurological Surgery | 45496 | MN | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
45496 | MN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3931 Louisiana Ave S, St Louis Park, MN 554265000 | 9529933230 | 9529931748 |
6545 France Ave S, Suite 450d, Edina, MN 554352131 | 9528363695 | 9528363690 |
700 West Ave S, La Crosse, WI 546014783 | 6087850940 | |
800 West Ave S, La Crosse, WI 54601 | 6087850940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821430307 | Charles Evan Watts | Driver | 1069 Main Street, Champlain, NY 12919-5444 | 2013-07-24 |
1629143094 | Charles Arthur Watts | Dentist | 203 E Purisima, Refugio, TX 78377-0100 | 2006-11-21 |
1376618793 | Charles Watts | Chiropractor | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2006-11-21 |
1598864456 | Charles F Watts | Pharmacist | 4255 Brighten Ave, Springdale, AR 72762-0432 | 2006-09-21 |
1730546326 | Charles Earl Watts Jr. | Physician Assistant | 2412 N Oak St, Valdosta, GA 31602-2567 | 2016-01-27 |
1306089552 | Charles William Watts | Psychiatry & Neurology | 500 Foothill Dr, 111-bh, Salt Lake City, UT 84148-0001 | 2009-04-16 |
1114943800 | Charles Watts | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-07-14 |
1730180183 | Charles Hunter Watts | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70073-2400 | 2005-08-09 |
Street Address |
3931 LOUISIANA AVE S |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55426-5000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265422927 | Anthony G Bottini | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2005-10-25 |
1437797917 | Allison Marie White | Dietitian, Registered | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-12-16 |
1083257612 | Kaylie Marie Laplante | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-10-27 |
1952960841 | Melissa Ann Moran | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-06-13 |
1205394004 | Maria Kelley Kearney | Occupational Therapist | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-03-11 |
1043790553 | Jack William Bergman | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-08-15 |
1164922910 | Lisa Mary Huset | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-02-19 |
1184147514 | Avri Ann Bock | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-07-18 |
1871013037 | Lorraine Marie Richards | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-06-20 |
1336672930 | Naoko Onizuka | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
Find all providers in zip 55426 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265422927 | Anthony G Bottini | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2005-10-25 |
1407117328 | Brent Bauman | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2012-06-07 |
1124123880 | Scott H Meyer | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-09-14 |
1467482323 | Albert Louis Meric IIi | Neurological Surgery | 3931 Louisiana Ave S, Suite East 500, St Louis Park, MN 55426-4375 | 2006-07-04 |
1285611079 | Eric C Schenk | Neurological Surgery | 3931 Louisiana Ave S, Ste E500, St Louis Park, MN 55426-4375 | 2005-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770999716 | Gigante Acquisitions LLC | Neurological Surgery | 2215 Pillsbury Ave S, Minneapolis, MN 55404-3213 | 2014-07-10 |
1962723403 | Richard C. Siebert | Neurological Surgery | 1901 Red Oak Dr Sw, Brainerd, MN 56401-2050 | 2010-06-18 |
1912136284 | Ann M Parr | Neurological Surgery | 516 Delaware St Se, Clinic 1a, Umphysicians Neurosurgery Clinic, Minneapolis, MN 55455 | 2009-07-08 |
1932303526 | Hamid Reza Abbasi | Neurological Surgery | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2007-06-14 |
1629289939 | Andrew Grande | Neurological Surgery | 420 Delaware St. Se, Mmc 96, D429 Mayo Memorial Building, Minneapolis, MN 55455 | 2007-05-25 |
1255452926 | Meysam A Kebriaei | Neurological Surgery | 347 Smith Ave N Ste 301, Saint Paul, MN 55102-3355 | 2007-04-02 |
1013084615 | Lynn M Miller | Neurological Surgery | 6 Red Forest Ln, North Oaks, MN 55127-6352 | 2006-11-29 |
1871695098 | Cornelius Hoktsim Lam | Neurological Surgery | 420 Delaware St Se # Mmc96, Minneapolis, MN 55455-0341 | 2006-09-01 |
1124044334 | Zhiyi Sha | Neurological Surgery | 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 | 2006-07-14 |
1619914207 | Allina Health System | Neurological Surgery | 310 Smith Ave N Ste 400, St Paul, MN 55102-2378 | 2006-06-01 |
Find all providers with the same taxonomy |
City | ST LOUIS PARK |
Zip Code | 55426 |
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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.