KELLY A. WATSON (NPI# 1942529516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942529516 |
| Entity Type | Individual |
| Full Name | KELLY A. WATSON |
| Credential | PA-C |
| Practice Address |
452 W 10th Ave Columbus OH 43210-1240 |
| Mailing Address |
700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 |
| Practice Telephone | 6142936638 |
| Practice Fax Number | 6142932867 |
| Mailing Telephone | 6142936638 |
| Mailing Fax Number | 6142932867 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.005988RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527060 | Kelly Watson | Nurse Practitioner | 6802 S Olympia Ave Ste 300, Tulsa, OK 74132-1826 | 2018-08-13 |
| 1629447552 | Kelly Conway Watson | Nurse Practitioner | 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 | 2015-09-22 |
| 1053716837 | Kelly Watson | Occupational Therapist | 1662-a Lakeshore Court, Birmingham, AL 35209 | 2014-10-23 |
| 1114527835 | Kelly Watson | Pharmacist | 310 Fischer Rd, Sharpsburg, GA 30277-2084 | 2020-10-30 |
| 1689208910 | Kelly Danica Watson | Occupational Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2020-02-25 |
| 1588164818 | Kelly Annette Watson | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2018-02-13 |
| 1922476753 | Kelly Watson | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2015-09-10 |
| 1154711265 | Kelly M Watson | Nurse Practitioner | 22742 Midland Dr, Shawnee, KS 66226-3553 | 2015-01-27 |
| 1669805305 | Kelly Jane-baldwin Watson | Physician Assistant | 700 S Tustin St, Orange, CA 92866-3425 | 2013-08-16 |
| 1174835334 | Kelly C Watson | Physician Assistant | 1900 10th Ave Ste 211, Columbus, GA 31901-3604 | 2010-07-05 |
| Street Address |
452 W 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114392 | Margueritte S. Hevezi | Pharmacist | 452 W 10th Ave, Columbus, OH 43210-1240 | 2005-06-14 |
| 1467073304 | Jordan Jane Depasquale | Nurse Practitioner | 452 W 10th Ave, Columbus, OH 43210-1240 | 2020-05-01 |
| 1871120188 | Krista Westerheide | Registered Nurse | 452 W 10th Ave, Columbus, OH 43210-1240 | 2020-03-25 |
| 1144854175 | Michael Patrick Vallely | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 452 W 10th Ave, Columbus, OH 43210-1240 | 2020-02-28 |
| 1588219752 | Caitlin Mills | Pharmacist | 452 W 10th Ave, Columbus, OH 43210-1240 | 2019-08-05 |
| 1972155745 | Daniel Eric Galipeau | Pharmacist | 452 W 10th Ave, Columbus, OH 43210-1240 | 2019-07-11 |
| 1295390607 | Shannon Marie Van Schaik | Registered Nurse | 452 W 10th Ave, Columbus, OH 43210-1240 | 2019-05-01 |
| 1881258523 | Melissa M. Jones | Nurse Practitioner | 452 W 10th Ave, Columbus, OH 43210-1240 | 2019-04-29 |
| 1619437621 | Greg Alan Bigelow | Registered Nurse | 452 W 10th Ave, Columbus, OH 43210-1240 | 2019-03-25 |
| 1740749639 | Rachel Ross | Registered Nurse | 452 W 10th Ave, Columbus, OH 43210-1240 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1649886557 | Justin Knox | Physician Assistant | 7416 Roslindale Dr, Columbus, OH 43235-8904 | 2020-09-17 |
| 1336766310 | Mckenna Marie Wilson | Physician Assistant | 4752 Bentham Dr, Columbus, OH 43220-3204 | 2020-06-25 |
| 1881226744 | Adrian Gorzitze-maxey | Physician Assistant | 117 W Como Ave, Columbus, OH 43202-1027 | 2020-02-09 |
| 1699316604 | James Rodeman | Physician Assistant | 1351 Wyandotte Rd, Columbus, OH 43212-3248 | 2019-10-01 |
| 1740830017 | Rylie Taylor Ingham | Physician Assistant | 285 E State St Ste 600, Columbus, OH 43215-4329 | 2019-09-18 |
| 1487201976 | Columbus Surgical Assist, LLC | Physician Assistant | 605 N. High Street #234, Columbus, OH 43215-2024 | 2019-08-20 |
| 1699237743 | Stefan Khensouri | Physician Assistant | 3375 Paddington Dr, Columbus, IN 47203-4328 | 2019-04-05 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1760972426 | Simon Nke Acha | Physician Assistant | 285 E State St Ste 360, Columbus, OH 43215-4357 | 2018-05-17 |
| Find all providers in COLUMBUS | ||||
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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.