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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | 819628063 | NY | Other Service Providers |
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 |
Street Address |
1069 MAIN STREET |
City | CHAMPLAIN |
State | NY |
Zip Code | 12919-5444 |
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 |
Find all providers in zip 12919 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
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 |
Find all providers with the same taxonomy |
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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.