Kendra Danielle Watson (NPI# 1740623776, PAC ID# 4880825306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1740623776 |
| PAC ID by PECOS | 4880825306 |
| Professional Enrollment ID | I20170814002832 |
| Full Name | Kendra Danielle Watson |
| Organization Legal Name | DAKOTA DERMATOLOGY, LTD |
| Address |
323 Sw 10th St Madison SD 57042-3200 |
| Phone Number | 6053309619 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6709783848 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 431300 | MADISON REGIONAL HEALTH SYSTEM |
| 430016 | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 323 Sw 10th St, Madison, SD 57042-3200 | 6053309619 | DAKOTA DERMATOLOGY, LTD |
| 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 | 6053309619 | DAKOTA DERMATOLOGY, LTD |
| Organization Legal Name | DAKOTA DERMATOLOGY, LTD |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly M Jerstad | Dermatology | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| Cheryle L Brandt | Physician Assistant | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| Sarah K Sarbacker | Dermatology | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| Stephanie Jo Stelton | Physician Assistant | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| Kathrine A Jibben | Physician Assistant | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| Rachel R Hotvet | Physician Assistant | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| Carmen M Schwartz | Dermatology | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| James R Mcgrann | Dermatology | Dakota Dermatology, Ltd | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 |
| Street Address |
323 SW 10TH ST |
| City | MADISON |
| State | SD |
| Zip | 57042-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin A Clem | Family Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Meggan L Reisch | Nurse Practitioner | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Benjamin N Liscano | Family Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Wayne A Wetzbarger | Internal Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Bernard F Heilman | Family Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Robert J Summerer | General Surgery | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Delaina P Sievers | Physician Assistant | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Mary W Beecher | Family Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Laura J Hoefert | Family Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Laurel Jennings-johnson | Family Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie B Landeen | Obstetrics/gynecology | Sanford Clinic | 903 N Washington Ave, Vascular Assocaites, Madison, SD 57042-1634 |
| Douglas J Caron | Chiropractic | 120 Nw 2nd St, Madison, SD 57042-2106 | |
| Michael S Brooke | Optometry | Eyecare Center of Madison Prof LLC | 302 N Harth Ave, Madison, SD 57042-2219 |
| Jodie S Larson | Optometry | Eyecare Center of Madison Prof LLC | 302 N Harth Ave, Madison, SD 57042-2219 |
| Misty D Wells | Chiropractic | Getting Well Chiropractic Prof, LLC | 414 Ne 3rd St, Madison, SD 57042-2322 |
| Joseph Michael Gitzen | Chiropractic | Getting Well Chiropractic Prof, LLC | 414 Ne 3rd St, Madison, SD 57042-2322 |
| Jacalyn K Hopp | Clinical Social Worker | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Garet K Ford | Physician Assistant | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Tammy T Dramstad | Clinical Social Worker | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Lyle P Christopherson | Psychiatry | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Find all physicians in zip 57042 | |||
| City | MADISON |
| Zip Code | 57042 |
| Specialty | DERMATOLOGY |
| City + Specialty | MADISON + DERMATOLOGY |
Please comment or provide details below to improve the information on Kendra Danielle Watson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.