DR. RANDALL L. WATSON (NPI# 1952341000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952341000 |
| Entity Type | Individual |
| Full Name | DR. RANDALL L. WATSON |
| Credential | M.D. |
| Practice Address |
1575 W 7000 S West Jordan UT 84084-3431 |
| Practice Telephone | 8015699133 |
| Practice Fax Number | 8015699103 |
| Mailing Telephone | 8015699133 |
| Mailing Fax Number | 8015699103 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 175699-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | GROUP / CORP NPI | 1174707517 | 01 |
| UT | NPI | 1952341000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568612737 | Randall Scott Watson | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2008-09-24 |
| 1831253871 | Randall Wilson Watson | Physician Assistant | 2001 Medical Pkwy, Annapolis, MD 21401-3280 | 2006-12-21 |
| Street Address |
1575 W 7000 S |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538518469 | Jessica Coon | Nurse Practitioner | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2016-06-10 |
| 1144577636 | Joyce Pritchard Md PC | Family Medicine | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2012-08-14 |
| 1184928228 | Metwest Inc | Clinical Medical Laboratory | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2011-01-04 |
| 1407098122 | Joyce Pritchard | Family Medicine | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2009-03-26 |
| 1972759371 | Rebecca Levine, Md, Pllc | Family Medicine | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2008-08-18 |
| 1528231107 | Katie A Julien Md PC | Clinic/Center | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2008-04-03 |
| 1174707517 | Southwest Family Medicine, LLC | Family Medicine | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2007-12-20 |
| 1972620417 | Chuck Hung Gee | Physician Assistant | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2007-03-22 |
| 1073652145 | Barbara Patterson Reineke | Nurse Practitioner | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2007-02-06 |
| 1538257720 | Tiffany Ann Pyle | Physician Assistant | 1575 W 7000 S, West Jordan, UT 84084-3431 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210551 | Evergreen Clinic LLC | Family Medicine | 1561 W 7000 S Ste 100, West Jordan, UT 84084-3556 | 2019-11-25 |
| 1528203817 | West Jordan Family Medicine, LLC | Family Medicine | 6783 S Redwood Rd Ste 103, West Jordan, UT 84084-5685 | 2008-12-16 |
| 1417125139 | Shadow Mountain Family Physicians | Family Medicine | 7800 South 3855 West, 100, West Jordan, UT 84088 | 2008-02-15 |
| 1962606657 | Jordan Landing Family Medicine LLC | Family Medicine | 3895 W 7800 S Suite 100, West Jordan, UT 84088-1966 | 2007-06-14 |
| 1336227206 | Jackie Anne Fonua | Family Medicine | 3354 W 7800 S, West Jordan, UT 84088-4506 | 2006-11-01 |
| 1235158304 | Brenten C Pugh, Md | Family Medicine | 3895 W 7800 S Ste 100, West Jordan, UT 84088-5616 | 2006-07-19 |
| 1174555320 | James S Coy | Family Medicine | 2751 W 9000 S, West Jordan, UT 84088 | 2006-07-07 |
| 1386675627 | Randall R Fillmore | Family Medicine | 2751 W 9000 South, West Jordan, UT 84088 | 2006-07-05 |
| 1568405397 | Dennis R Hamp | Family Medicine | 3895 W 7800 S, Suite, 100, West Jordan, UT 84088-5617 | 2006-06-13 |
| 1275576027 | Judith L Kirstein | Family Medicine | 8846 S Redwood Rd, Ste E121, West Jordan, UT 84088-9334 | 2006-06-13 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
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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.