BLAKE A WATSON (NPI# 1578879151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578879151 |
| Entity Type | Individual |
| Full Name | BLAKE A WATSON |
| Credential | MD |
| Practice Address |
627 Turtle Creek Dr Tyler TX 75701-1832 |
| Practice Telephone | 9035932539 |
| Practice Fax Number | 9035930559 |
| Mailing Telephone | 9035932539 |
| Mailing Fax Number | 9035930559 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
P7226 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD 60162729 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
627 TURTLE CREEK DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554673 | James F. Cabell IIi | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2005-08-10 |
| 1487110474 | Jonathan David Dickson | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2019-02-14 |
| 1861933954 | Sabra L Dixon | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2017-03-09 |
| 1568914984 | Ariel Hortillosa Temporal | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2016-11-02 |
| 1811323108 | Tori Burns | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2013-09-19 |
| 1285926659 | Justin D Sacks | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701 | 2011-05-04 |
| 1689963357 | Jose Luis Enriquez | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2011-04-04 |
| 1093016487 | Marta D Stanley | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-11-16 |
| 1104141399 | Eric Weissmann | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-03-31 |
| 1487828596 | Charles D. Crum | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518220367 | Beurett Alexander King Jr. | Radiology | 1517 Cold Water Dr, Tyler, TX 75703-0937 | 2012-06-18 |
| 1093039539 | Melinda Faye Coker | Radiology | 910 E Houston St Ste 650, Tyler, TX 75702 | 2010-03-25 |
| 1548219025 | Sonowave Inc. | Radiology | 417 S Chilton Ave, Tyler, TX 75702-8017 | 2006-05-10 |
| 1427019447 | Ralph A Gutierrez | Radiology | 1021 E Watkins St, Tyler, TX 75701-7120 | 2006-03-29 |
| 1164495974 | Joe Buck Caldwell | Radiology | 520 East Douglas Blvd, Tyler, TX 75702 | 2006-02-10 |
| 1477554673 | James F. Cabell IIi | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2005-08-10 |
| 1871594697 | Modified Barium Swallow Service, P.a. | Radiology | 3724 Fm 346 E, Tyler, TX 75703-8340 | 2005-08-02 |
| 1962814798 | Justin Mccaslin | Radiology | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2014-05-28 |
| 1689963357 | Jose Luis Enriquez | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2011-04-04 |
| 1982923975 | Shannon B. Glass | Radiology | 11937 Us Highway 271, Tyler, TX 75708 | 2010-05-31 |
| Find all providers in TYLER | ||||
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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.