MR. BENJAMIN P WATTS (NPI# 1801877022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801877022 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN P WATTS |
| Credential | M.H.S., PA-C |
| Practice Address |
3615 Hospital St Pascagoula MS 39581-4112 |
| Mailing Address |
6300 E Lake Blvd Ste. 301 Vancleave MS 39565-6770 |
| Practice Telephone | 2287623664 |
| Practice Fax Number | 2287697015 |
| Mailing Telephone | 2282302663 |
| Mailing Fax Number | 2282061192 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00164 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-183 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3615 HOSPITAL ST |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427288497 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2009-07-23 |
| 1013170653 | William Wenstrom | Nurse Practitioner | 3615 Hospital St, Pascagoula, MS 39581 | 2008-07-03 |
| 1902825573 | Eric D Washington | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-18 |
| 1619902814 | Donnis Kline Harrison | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-12 |
| 1407881022 | Christopher Edward Wiggins | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091742 | Madeline Grace Daniels | Physician Assistant | 501 Marshall St Ste 400, Jackson, MS 39202-1687 | 2017-02-07 |
| 1114392172 | Robin Rae Hoffeld | Physician Assistant | 11401 Wedgewood Ln, Ocean Springs, MS 39564-7910 | 2015-12-02 |
| 1487027504 | Advanced Surgical Assistants LLC | Physician Assistant | 1924 30th Ave Ste A, Gulfport, MS 39501-4534 | 2015-11-11 |
| 1063889509 | Julie Dianne Sullivan | Physician Assistant | 216 Linda Dr, Ocean Springs, MS 39564-4114 | 2015-09-01 |
| 1326478744 | William Bishop | Physician Assistant | 11476 Savannah Pl, Gulfport, MS 39503-1109 | 2013-11-21 |
| 1376840173 | Christopher Lawrence Sweebe | Physician Assistant | 741 Beaus Landing Dr, Gulfport, MS 39507-4347 | 2011-02-15 |
| 1528275633 | Tina M Mcginty | Physician Assistant | 250 Church Ave, Gulfport, MS 39507-1255 | 2007-05-17 |
| 1922190271 | Robert L. Gillum Jr. | Physician Assistant | 6099 Adaughtery Rd, Suite A, Long Beach, MS 39560 | 2006-09-28 |
| 1841249489 | Bradley Martin | Physician Assistant | 1014 Biglane Drive, Brookhaven, MS 39601 | 2006-05-10 |
| 1144293655 | David Bradley Robbins | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on MR. BENJAMIN P WATTS.
| 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.