TARA WATSON


Address: 4219 S Western Ave, Oklahoma City, OK 73109-3410
Phone: 4056445200

TARA WATSON (NPI# 1538480330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538480330
Entity Type Individual
Full Name TARA WATSON
Credential P.A.-C
Practice Address 4219 S Western Ave
Oklahoma City
OK 73109-3410
Mailing Address 2616 Nw 27th St
Oklahoma City
OK 73107-2104
Practice Telephone 4056445200
Mailing Telephone 4057401186
Enumeration Date 2010-06-15
Last Update Date 2010-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA823 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers TARA WATSON

NPI Name Taxonomy Address Enumeration
1144596909 Tara Watson Occupational Therapist 1940 Commerce St, Suite 210, Yorktown Heights, NY 10598-4428 2012-03-27
1750664306 Tara Watson Occupational Therapist 1018 Industrial Dr, Pleasant View, TN 37146-7107 2011-09-20
1487806907 Tara Cox Watson Counselor 1701 White St, Sw Ms Mental Health Mental Retardation Commission-, Mccomb, MS 39648 2008-10-15
1912121690 Tara Selene Watson Chiropractor 3107 Penn Ave N, Minneapolis, MN 55411-1123 2007-04-12
1316000367 Tara Watson Social Worker 633 Thompson Ln, Nashville, TN 37204-3616 2006-12-19

Office Location

Street Address 4219 S WESTERN AVE
City OKLAHOMA CITY
State OK
Zip Code 73109-3410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265490460 David Brent Tipton Physical Medicine & Rehabilitation 4219 S Western Ave, Oklahoma City, OK 73109-3410 2006-05-04
1770116154 Taylor Frost Physical Medicine & Rehabilitation 4219 S Western Ave, Oklahoma City, OK 73109-3410 2020-02-13
1780166447 Ruby K Thomas Occupational Therapist 4219 S Western Ave, Oklahoma City, OK 73109 2018-08-29
1811406523 Victoria Allison Friesen Counselor 4219 S Western Ave, Oklahoma City, OK 73109-3410 2017-09-26
1447578950 Chelsee Maryssa Truesdell Physical Therapist 4219 S Western Ave, Oklahoma City, OK 73109-3410 2010-05-07
1528382553 Kimberly Ann Horn Physician Assistant 4219 S Western Ave, Oklahoma City, OK 73109-3410 2010-03-19
1154569390 Josephine Gimple Physical Therapist 4219 S Western Ave, Oklahoma City, OK 73109-3410 2009-01-26
1790980290 Leslie E Pulliam Occupational Therapist 4219 S Western Ave, Oklahoma City, OK 73109-3410 2007-06-15
1700097185 Olivia Ann Feagins Physical Therapist 4219 S Western Ave, Oklahoma City, OK 73109-3410 2007-05-25
1598975245 Kellli Holmes Physical Therapist 4219 S Western Ave, Oklahoma City, OK 73109-3410 2007-05-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063905354 Housecalls Family Medicine 4413 S Lee Ave, Oklahoma City, OK 73109 2018-06-11
1225559404 John Nathan Jacobsen Dentist 235 Sw 25th St., Oklahoma City, OK 73109 2017-06-28
1659828648 Cynthia Jane Laney Registered Nurse 4401 South Western, Oklahoma City, OK 73109 2016-09-07
1497104780 Hazel Soto Case Manager/Care Coordinator 420 Sw, St, Oklahoma, OK 73109 2016-06-07
1063873677 Ardeceley Brandi Annette Hernandez Community/Behavioral Health 5714 S. Western Ave, Oklahoma City, OK 73109 2016-03-09
1316343908 Van Ngo Nurse Practitioner 4413 South Lee Ave, Oklahoma City, OK 73109 2014-11-10
1104249150 Janessa Ladawn Bointy Counselor 5359 S. Western Ave. #707, Oklahoma City, OK 73109 2014-01-28
1033540299 Bryan Graham Case Manager/Care Coordinator 1111 Sw 28th St, Oklahoma City, OK 73109 2013-12-12
1154684603 Nubia Fiesel Counselor 420 Sw 10th Street, Oklahoma City, OK 73109 2012-06-20
1548533664 C.c. Freeman, Md. Inc Internal Medicine 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 2012-02-21
Find all providers in zip 73109

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013517168 Madeleine Hill Physician Assistant 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 2020-10-28
1003414673 Stephanie Ann Stephens Physician Assistant 5021 Eric Dr, Oklahoma City, OK 73135-4129 2020-10-15
1336786557 Chad Tiaden Physician Assistant 940 Ne 13th St Ste 2300, Oklahoma City, OK 73104-5008 2019-12-06
1588209837 Kathryn Lynn Lane Physician Assistant 737 Sw 157th St, Oklahoma City, OK 73170-7688 2019-11-11
1760025845 Robert Eugene Curling Physician Assistant 3435 Nw 56th St Ste 909, Oklahoma City, OK 73112-4400 2019-10-22
1740831486 Aliina Ann O'toole Physician Assistant 1200 Childrens Ave Ste 8305, Oklahoma City, OK 73104-4637 2019-09-24
1093375271 Alison Suezan Barton Physician Assistant 13401 N Western Ave Ste 210, Oklahoma City, OK 73114-1410 2019-06-19
1376100750 Katelyn Taylor Bant Physician Assistant 6001 S Sooner Rd, Ste A, Oklahoma City, OK 73135-5601 2019-05-21
1538726997 Mariah Paige Melton Physician Assistant 4400 Hemingway Dr Apt 251, Oklahoma City, OK 73118-2241 2019-05-21
1336703123 Soni Simer Physician Assistant 11601 Kingswick Dr, Oklahoma City, OK 73162-2918 2019-04-26
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73109

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Dataset Information

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.

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