ANDREA WATSON (NPI# 1801036934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801036934 |
| Entity Type | Individual |
| Full Name | ANDREA WATSON |
| Other Name | ANDREA DIOMANDE |
| Credential | MD |
| Practice Address |
1111 Ring Rd Elizabethtown KY 42701-4900 |
| Mailing Address |
1700 Ring Rd Elizabethtown KY 42701-9497 |
| Practice Telephone | 2707061925 |
| Practice Fax Number | 2707061926 |
| Mailing Telephone | 2707695551 |
| Mailing Fax Number | 2709822128 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2012-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 44759 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100164040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272601 | Andrea Watson | Chiropractor | 10420 S Decatur Blvd Ste 140, Las Vegas, NV 89141-8717 | 2019-08-28 |
| 1457879702 | Andrea Watson | Speech-Language Pathologist | 410 S Hickory St, Stillman Valley, IL 61084-8803 | 2017-09-07 |
| 1851728281 | Andrea Watson | Registered Nurse | 29 Windsor Rd, Thomasville, NC 27360-9200 | 2013-09-30 |
| 1679595847 | Andrea Watson | Pediatrics | 2922-b Martin Luther King Jr. Blvd, Dallas, TX 75215 | 2006-07-24 |
| 1619584760 | Andrea Michelle Lynn Watson | Behavior Technician | 3771 S A St, Richmond, IN 47374-6053 | 2020-09-23 |
| 1285176826 | Andrea Watson | Occupational Therapy Assistant | 5822 S Lowell Way, Littleton, CO 80123-2849 | 2016-11-14 |
| 1477962306 | Andrea Marie Watson | Marriage & Family Therapist | 12810 Heacock St Ste B202, Moreno Valley, CA 92553-2873 | 2014-08-05 |
| 1790064822 | Andrea Rose Watson | Physical Therapy Assistant | 3615 Braselton Hwy, Suite 101, Dacula, GA 30019-5906 | 2011-08-07 |
| 1235440025 | Andrea Dianne Watson | Social Worker | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2010-06-25 |
| 1598087421 | Andrea Watson | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2010-02-19 |
| Street Address |
1111 RING RD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725234 | Carefirst Urgent Care Center LLC | Family Medicine | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2006-05-12 |
| 1962973644 | Gabriel Chapman | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2018-12-06 |
| 1326519158 | Samantha Styer | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2018-12-05 |
| 1649623778 | Richard Keenan Morse | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2016-07-13 |
| 1023471323 | William Witzel | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2016-04-04 |
| 1114307261 | Cody Bearden | Orthopaedic Surgery | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2015-06-04 |
| 1316331937 | Maria Catherine Backes | Specialist/Technologist | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2015-03-20 |
| 1336492677 | Jessica Brooke Prahl | Physician Assistant | 1111 Ring Rd, Suite 100, Elizabethtown, KY 42701-4900 | 2012-10-24 |
| 1588946107 | Stephanie Whitlock | Nurse Practitioner | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2011-09-10 |
| 1790079481 | Erica Nichole Schell | Nurse Practitioner | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2011-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1093360224 | Lancaster General Medical Group | Family Medicine | 432 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2019-08-05 |
| 1023546868 | Jahin Patel | Family Medicine | 2411 Ring Rd Ste 114, Elizabethtown, KY 42701-5930 | 2017-05-24 |
| 1568632974 | Susan Marie Leclerc | Family Medicine | 5456 Ridge Rd, Elizabethtown, PA 17022-8621 | 2008-03-03 |
| 1225231665 | Aniqa Baqauddin | Family Medicine | 1329 Amanda Jo Dr, Elizabethtown, KY 42701-2625 | 2007-06-05 |
| 1316020951 | Bernard Damon Greenwell | Family Medicine | 222 West Dixie Avenue, Elizabethtown, KY 42701 | 2006-10-24 |
| 1225127459 | Robert L Rich Jr. | Family Medicine | 300a East Mckay Street, Elizabethtown, NC 28337 | 2006-10-12 |
| 1225133408 | Cottle Medical Group Pa | Family Medicine | 103 S Owen Street, Elizabethtown, NC 28337 | 2006-09-13 |
| 1104832310 | Samuel Phillip Pike | Family Medicine | 100 Helmwood Plaza Drive, Elizabethtown, KY 42701 | 2006-07-31 |
| 1902848948 | Patrick E Gilhool | Family Medicine | 300 Maytown Rd, Elizabethtown, PA 17022 | 2006-06-12 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.