WILLIAM JUAN WATKINS (NPI# 1932105327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932105327 |
| Entity Type | Individual |
| Full Name | WILLIAM JUAN WATKINS |
| Credential | M.D. |
| Practice Address |
2121 Line Ave Shreveport LA 71104-2126 |
| Practice Telephone | 3182269441 |
| Practice Fax Number | 3184253236 |
| Mailing Telephone | 3182269441 |
| Mailing Fax Number | 3184253236 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2010-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 009207 | LA | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
009207 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1063584 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395375 | William Ray Watkins Jr. | Nurse Practitioner | 214 Hanging Rock Hwy, Logan, WV 25601-5102 | 2018-11-17 |
| 1871688671 | William Tedford Watkins | Dentist | 20480 Blauer Dr, # D, Saratoga, CA 95070-4371 | 2006-10-04 |
| 1932203361 | William Watkins | Counselor | 129 Kentucky 15 N, Campton, KY 41301 | 2006-09-07 |
| 1720192339 | William Duane Watkins | Dentist | 841 A 12th Ave, Longview, WA 98632 | 2006-08-19 |
| 1619917598 | William James Watkins | Nurse Practitioner | 61 Highway Y, Ellington, MO 63638-7802 | 2006-06-07 |
| 1093785099 | William S. Watkins | Specialist | 2450 Aberdeen Blvd, Suite A, Gastonia, NC 28054-0606 | 2006-01-24 |
| 1568463164 | William Casey Watkins | Pharmacist | 1927 Gallant Fox Dr, Helena, AL 35080-3920 | 2005-08-03 |
| 1063410686 | William Edward Watkins | Dentist | Back Mt. Prof. Bldg.,tunkhannock Highway, Dallas, PA 18612 | 2005-07-08 |
| 1033613377 | William Watkins | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3586, Stanford, CA 94305-2200 | 2018-03-21 |
| 1629526462 | William Watkins | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2016-09-21 |
| Street Address |
2121 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509370 | Henry J Hollier | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2005-06-22 |
| 1306241641 | Laura Steinagel | Audiologist | 2121 Line Ave, Shreveport, LA 71104-2126 | 2014-10-29 |
| 1225271513 | Blakely Nelson Thornton | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2009-04-15 |
| 1891951232 | Kristi Hanson Rockefeller | Audiologist | 2121 Line Ave, Shreveport, LA 71104-2126 | 2008-08-05 |
| 1881850220 | Misty Lynn Littleton | Audiologist | 2121 Line Ave, Shreveport, LA 71104-2126 | 2008-08-05 |
| 1649350968 | Ear Nose & Throat Center A Medical Corporation | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2006-10-17 |
| 1851397855 | Robert S. Thornton | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2005-06-23 |
| 1003812009 | William Harrel Watkins | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2005-06-23 |
| 1992701395 | David G Pou | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396817722 | Kenneth W Sanders Pllc | Otolaryngology | 2800 Youree Drive, Suite 100a, Shreveport, LA 71104 | 2006-11-14 |
| 1639249337 | Doctors Hearing Center LLC Xxxiii | Otolaryngology | 8039 Line Ave, Shreveport, LA 71106 | 2006-11-09 |
| 1619960119 | Joseph Houston Bosley | Otolaryngology | 2533 Bert Kouns Industrial Loop, #104, Shreveport, LA 71118-3158 | 2005-08-30 |
| 1972509370 | Henry J Hollier | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2005-06-22 |
| 1215484647 | Ameya A. Asarkar | Otolaryngology | 1501 Kings Highway, Shreveport, LA 71130 | 2016-09-01 |
| 1306281613 | Mickie J. Hamiter | Otolaryngology | 1501 Kings Hwy, Oto, Shreveport, LA 71103-4228 | 2013-05-01 |
| 1881911683 | Paige Bundrick | Otolaryngology | 1501 Kings Hwy, Department of Otolaryngology, Shreveport, LA 71103-4228 | 2010-05-03 |
| 1649407487 | Chuka Victor Ifeanyi | Otolaryngology | 1455 E Bert Koun Loop, #206, Shreveport, LA 71105-5634 | 2009-06-19 |
| 1225271513 | Blakely Nelson Thornton | Otolaryngology | 2121 Line Ave, Shreveport, LA 71104-2126 | 2009-04-15 |
| 1255581518 | Anil A Gungor | Otolaryngology | 1501 Kings Hwy, Department of Otolanyngology, Shreveport, LA 71103-4228 | 2008-09-23 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.