DR. CHARLES HUNTER WATTS (NPI# 1730180183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730180183 |
| Entity Type | Individual |
| Full Name | DR. CHARLES HUNTER WATTS |
| Credential | M.D. |
| Practice Address |
4225 Lapalco Blvd Marrero LA 70073-2400 |
| Mailing Address |
Po Box 2400 Marrero LA 70073-2400 |
| Practice Telephone | 5043917337 |
| Practice Fax Number | 5043987213 |
| Mailing Telephone | 5043917337 |
| Mailing Fax Number | 5043987213 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
013740 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1300721 | 05 |
| 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 |
| 1427001171 | Charles Reginald Watts | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-05-17 |
| Street Address |
4225 LAPALCO BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70073-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948573 | John L. Moore | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
| 1417582594 | Aaron Quentin Hunt | Nurse Practitioner | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2020-03-09 |
| 1487137758 | Margaret Kathleen Salib Barrios | Nurse Practitioner | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2018-09-12 |
| 1366924458 | Shawna Lynn Morron | Physician Assistant | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2018-09-05 |
| 1417496977 | Cassandra R Rockweiler | Social Worker | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2017-02-16 |
| 1497106876 | Ashley Tessitore | Nurse Practitioner | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2016-06-27 |
| 1932595345 | Carmen Joann Bruno | Podiatrist | 4225 Lapalco Blvd, Marrero, LA 70072 | 2015-04-13 |
| 1528409836 | Ochnser Clinic LLC | Eyewear Supplier (Equipment, not the service) | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2013-07-15 |
| 1972846798 | Jessica M May | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2013-03-29 |
| 1659614725 | Michelle Mullin Mims | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2013-03-27 |
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| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948573 | John L. Moore | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
| 1952486987 | Otholino Remedios | Pediatrics | 1200 Avenue G, Suite # 101, Marrero, LA 70072-3765 | 2006-10-26 |
| 1265433320 | Westside Clinics Anc | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072 | 2005-08-10 |
| 1083615652 | Robert L. Guy | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
| 1356342885 | Earl J. Madere | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
| 1881695237 | Dean A Leone | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70073-2400 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962970582 | Total Health Family Medicine | Pediatrics | 9435 Mansfield Rd Ste 5b, Shreveport, LA 71118-3859 | 2018-11-13 |
| 1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
| 1992925614 | John E Daigre Jr. | Pediatrics | 315 N Demanade Blvd, Lafayette, LA 70503-2555 | 2007-04-26 |
| 1811017882 | Barry Stephen Bordenave | Pediatrics | 321 Overhill Dr, Lake Charles, LA 70605-6527 | 2007-03-30 |
| 1174691034 | Linda Ann Doughty White | Pediatrics | 4511 Downman Rd, New Orleans, LA 70126-3716 | 2006-11-30 |
| 1780763946 | Alfredo Oscar Lebron | Pediatrics | 3220 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-11-06 |
| 1316030851 | Stephanie Catherine Arnaud | Pediatrics | 515 Westbank Expressway, Suite 1, Gretna, LA 70053 | 2006-10-02 |
| 1306945399 | Cecily Joan Poree-turner | Pediatrics | 4052 Ulloa St, New Orleans, LA 70119-6834 | 2006-09-22 |
| 1952401705 | Child Health America Physician Group | Pediatrics | 3324 Florida Blvd, Baton Rouge, LA 70806 | 2006-09-22 |
| 1720195290 | Dana Angelle Fakouri | Pediatrics | 8040 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2006-08-23 |
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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.