Provider Type Icon

DR. MICHAEL T WATKINS MD NPI 1154305472


NPI Information

NPI: 1154305472
Provider Name: DR. MICHAEL T WATKINS, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
15 PARKMAN ST
WAC 458
BOSTON, MA
ZIP 02114
Phone: (617) 726-0908
Get Directions

DR. Michael T Watkins, MD is a vascular surgery surgery in Boston, MA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Michael T Watkins, MD NPI is 1154305472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 PARKMAN ST
WAC 458
BOSTON, MA
ZIP 02114-117
Phone: (617) 726-0908
Fax: (617) 726-2560

The enumeration date for this NPI number is 11/30/2005 and was last updated on 1/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery56029MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J06928MEDICARE PINMASSACHUSETTS
2J06928OTHERMASSACHUSETTSBCBS MA
3056029OTHERMASSACHUSETTSTUFTS HEALTH PLAN
4B98102MEDICARE UPIN
53028232MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.