MR. CHARLES EVAN WATTS


Address: 1069 Main Street, Champlain, NY 12919-5444
Phone: 5182983512

MR. CHARLES EVAN WATTS (NPI# 1821430307) 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) 1821430307
Entity Type Individual
Full Name MR. CHARLES EVAN WATTS
Credential SERVICE PROVIDER
Practice Address 1069 Main Street
Champlain
NY 12919-5444
Practice Telephone 5182983512
Mailing Telephone 5182983512
Enumeration Date 2013-07-24
Last Update Date 2013-07-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver 819628063 NY Other Service Providers

Other Providers CHARLES WATTS

NPI Name Taxonomy Address Enumeration
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
1730180183 Charles Hunter Watts Pediatrics 4225 Lapalco Blvd, Marrero, LA 70073-2400 2005-08-09

Office Location

Street Address 1069 MAIN STREET
City CHAMPLAIN
State NY
Zip Code 12919-5444

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144874603 Tyler James King Pharmacist 887 Us-11, Champlain, NY 12919 2019-08-01
1851867782 Courtney Elizabeth Shutts Registered Nurse 103 Rt 276, Champlain, NY 12919 2018-10-18
1659881555 Kim Letourneau Registered Nurse 103 Route 276, Champlain, NY 12919 2017-10-05
1306157045 John Boulton Southwick Family Medicine 76 Oak Street, Champlain, NY 12919 2010-06-28
1316262272 Nganha Vo Pharmacist 868 Rt 11, Champlain, NY 12919 2010-04-05
1386976884 Peter M Harrison Pharmacist 866 State Route 11, Champlain, NY 12919 2010-02-08
1881876670 Carlinda Marie Hamilton Pharmacist 887 Route 11, Champlain, NY 12919 2007-12-04
1063493120 William L Steinfeld Dentist 487 Route 11, Champlain, NY 12919 2005-11-07
1689661092 Dorothea Burget Southwick Physical Therapist 34 Beeman Way, Champlain, NY 12919 2005-09-30
1104385368 Christine O'brian Pharmacist 868 State Route 11, Champlain, NY 12919 2019-03-18
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700483138 William Howard Horton II Driver 14 Woodrow Rd, Batavia, NY 14020-1202 2020-10-08
1881204642 Peter Odion Driver 313 Utica Ave, Brooklyn, NY 11213-4998 2020-08-06
1407479363 Ahmed A Mohammed Driver 724 23rd St # 2, Watervliet, NY 12189-2036 2020-05-26
1184250912 Kaseem S Moore Driver 25 Pond Hill Ln, Walden, NY 12586-2264 2020-03-12
1710511233 Bipil Tummala Driver 509 N Washington St Ste 1, Rome, NY 13440-4279 2020-02-24
1932733581 Griffiths Dodzi Kpogli Driver 112 Tudor Pl Apt 4d, Bronx, NY 10452-8566 2020-02-22
1306477518 Sam Eugene Moore Jr. Driver 33 Du Bois Ave, Poughkeepsie, NY 12601-2140 2020-01-28
1942830864 Anthony Fulmore Driver 36 Hart St, Brooklyn, NY 11206-6402 2020-01-20
1659901890 Blake Loren Kowalski Driver 284 Hidden Valley Rd, Rochester, NY 14624-2356 2020-01-15
1285272567 Steven Marino Ramos Driver 713a Southern Blvd # 3, Bronx, NY 10455-2105 2019-12-17
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Competitor

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City CHAMPLAIN
Zip Code 12919

Improve Information

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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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