DR. JEFFREY WILLIAM WATKINS (NPI# 1932186566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932186566 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY WILLIAM WATKINS |
| Practice Address |
2111 Ogden Ave Aurora IL 60504-7597 |
| Practice Telephone | 6309783800 |
| Practice Fax Number | 6308623086 |
| Mailing Telephone | 6309783800 |
| Mailing Fax Number | 6308623085 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 016004906 | IL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016004906 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016004906 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214805 | Jeffrey David Watkins | Social Worker | 1550 Norwood Dr Ste 104, Hurst, TX 76054-3601 | 2020-08-05 |
| 1942837703 | Jeffrey Kyle Watkins | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-03-23 |
| 1720373509 | Jeffrey Robert Watkins | Surgery | 1101 Madison St Ste 900, Seattle, WA 98104-1347 | 2011-06-09 |
| 1679886071 | Jeffrey Nathaniel Watkins | Physical Medicine & Rehabilitation | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2010-07-14 |
| 1053349860 | Jeffrey W. Watkins | Internal Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2006-06-29 |
| Street Address |
2111 OGDEN AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831185859 | David Jay Maaske | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2005-09-26 |
| 1538719596 | Nathan R Zinzer | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2019-09-12 |
| 1053879668 | Alexander Anooshah | Nurse Practitioner | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2019-03-04 |
| 1225515273 | Renee Bergstrom | Registered Nurse | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2018-07-23 |
| 1538616693 | Rush-copley Orthopedics, LLC | Physical Medicine & Rehabilitation | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2016-09-07 |
| 1962959296 | Rush-copley Surgicenter, LLC | Clinic/Center | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2016-09-02 |
| 1891151676 | Ryan Lifka | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2016-01-08 |
| 1629407812 | Sharon Schwarzbauer | Physical Therapist | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2013-11-07 |
| 1699100503 | Castle Orthopaedics and Sports Medicine | Registered Nurse | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2013-09-10 |
| 1861827040 | Wayne Blume | Registered Nurse | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2013-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420486 | Charlene Roberta Krejci-simmons | Podiatrist | 945 Lake Ave, Aurora, OH 44202-8712 | 2012-01-23 |
| 1598780553 | Ted Steven Peterson | Podiatrist | 9 E Garfield Rd, Aurora, OH 44202-6713 | 2006-07-12 |
| 1811183502 | Suburban Foot and Ankle Specialists P.C. | Podiatrist | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2007-09-17 |
| 1184648750 | Jonathon Dormish | Podiatrist | 13701 E Mississippi Ave, Suite 380, Aurora, CO 80012-6141 | 2006-07-27 |
| 1932140886 | Jonathon J Dormish Dpm LLC | Podiatrist | 13701 E Mississippi Ave, Suite 200, Aurora, CO 80012-6141 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
| 1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
| 1205071149 | Bradley W. Buckrop Dpm | Podiatrist | 3727 46th Ave, Suite 103, Rock Island, IL 61201-7078 | 2008-12-05 |
| 1396919130 | Marwa Sayed | Podiatrist | 7255 W 87th St Unit 1, Bridgeview, IL 60455-1821 | 2008-04-14 |
| 1013191287 | Nikola Ivancevic Dpm PC | Podiatrist | 135 S Palmer Dr, Suite 105, Elmhurst, IL 60126-3403 | 2007-12-24 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1720118367 | Larry Allen Keyes | Podiatrist | 1023 Madison St, Oak Park, IL 60302-4404 | 2007-03-06 |
| 1548399462 | Two Steps Ahead Podiatry, Inc. | Podiatrist | 1001 E Wilson St Ste 180, Batavia, IL 60510-3168 | 2007-03-05 |
| 1447392972 | Willie Lee Brown | Podiatrist | 10700 Lincoln Trl, Suite E, Fairview Heights, IL 62208-2037 | 2007-02-12 |
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| 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.