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TRACIE WATSON D.O. NPI 1275875965


NPI Information

NPI: 1275875965
Provider Name: TRACIE WATSON, D.O.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: MICHAEL P SHERMAN MD PHD A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
500 LENNON LN
WALNUT CREEK, CA
ZIP 94598
Phone: (925) 939-9610
Get Directions

Tracie Watson, D.O. is a hematology and oncology internal medicine in Walnut Creek, CA with 11 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Tracie Watson, D.O. NPI is 1275875965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduation Year:2013

The provider's business location address is:

500 LENNON LN
WALNUT CREEK, CA
ZIP 94598-415
Phone: (925) 939-9610
Fax: (925) 939-9630

The NPI 1275875965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2013 and was last updated on 1/15/2021.


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
1207R00000XInternal MedicineBF4649604-B213ILLINOISNo
2207RH0003XInternal MedicineHematology & Oncology20A18558CALIFORNIAYes
3208000000XPediatricsBF4649604-B213ILLINOISNo

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: 11/14/2023

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.