DOUGLAS J WATKINS (NPI# 1992795652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992795652 |
| Entity Type | Individual |
| Full Name | DOUGLAS J WATKINS |
| Credential | M.D. |
| Practice Address |
1900 Centracare Cir Saint Cloud MN 56303-5000 |
| Mailing Address |
3366 Oakdale Avenue No #315 North Clinic Pa Robbinsdale MN 55422-2948 |
| Practice Telephone | 3202294917 |
| Practice Fax Number | 3202295181 |
| Mailing Telephone | 7635877900 |
| Mailing Fax Number | 7635877989 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2010-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 31999 | MN | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
31999 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA HEALTH PLANS | 0707716 | 01 | |
| PREFERRED ONE | 438598 | 01 | |
| ARAZ GROUP/AMERICAS PPO | 601023 | 01 | |
| MN | 761592200 | 05 | |
| RAILROAD MEDICARE | 080073015 | 01 | |
| MEDICAL ASSISTANCE (MA) | 761592200 | 01 | |
| BLUE CROSS BLUE SHIELD | 86D81WA | 01 | |
| ONE HEALTH PLAN/GREAT WST | COMP | 01 | |
| FIRST HEALTH PLAN | 2114087 | 01 | |
| HEALTH PARTNERS | HP22747 | 01 | |
| CHAMPUS | COMP | 01 | |
| U-CARE | 110935 | 01 | |
| MMSI | COMP | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922727 | Douglas W Watkins | Physical Therapist | 800 West Ave S, La Crosse, WI 54601 | 2005-12-08 |
| Street Address |
1900 CENTRACARE CIR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858020 | Centracare Clinic | Clinic/Center | 1900 Centracare Cir, Centracare Clinic Health Plaza, Saint Cloud, MN 56303-5000 | 2005-08-12 |
| 1245845007 | Kayla Bolland-hillesheim | Counselor | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2020-09-09 |
| 1255976387 | Victoria Sybilla Hadley | Nurse Practitioner | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-13 |
| 1952945560 | Amanda Rae Schwartz | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-06 |
| 1467095166 | Cameron Svihla | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-25 |
| 1912540188 | Zoe Boehmer | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-21 |
| 1669033429 | Haley Vonbank | Physical Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-06-24 |
| 1396302741 | Karen Ann Reisdorf | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-05-21 |
| 1316500648 | Carrilyn Bechtold | Occupational Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-04-22 |
| 1770049066 | Clinton James Billhorn | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366548406 | Barbara Ford Olson | Family Medicine | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942766423 | Moments Palliative Care LLC | Family Medicine | 820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754 | 2019-02-20 |
| 1588137640 | Wayforth Clinical Services LLC | Family Medicine | 401 Harding St Ne Ste 200, Minneapolis, MN 55413-2801 | 2019-01-10 |
| 1891174751 | Hra-iq PC | Family Medicine | 4600 W 77th St, #355, Edina, MN 55435-4909 | 2015-05-26 |
| 1477943421 | Optum Medical Services of Colorado, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-29 |
| 1811139264 | Charles D Townes | Family Medicine | 16 Meadow Ln S, Minneapolis, MN 55416-3403 | 2009-04-01 |
| 1447203187 | Ruth O Szajner | Family Medicine | 701 Park Ave # S5, Minneapolis, MN 55415-1623 | 2006-05-17 |
| 1093702235 | Asma Khalid | Family Medicine | 621 S 4th St, Le Sueur, MN 56058-2203 | 2005-10-03 |
| 1750917985 | Marisa L Felker | Family Medicine | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-19 |
| 1588028161 | Joshua M Baruth | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-08 |
| 1528458486 | Optum Medical Services of California, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.