TERRI-ANN WATTSMAN MD NPI 1598737843

NPI Information

NPI: 1598737843
Provider Name: TERRI-ANN WATTSMAN, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: CARILION MEDICAL CENTER

PECOS Registration: Yes

Address:
4348 ELECTRIC RD
ROANOKE, VA
ZIP 24018
Phone: (540) 769-0976
Get Directions

Terri-ann Wattsman, MD is a pediatric surgery surgery in Roanoke, VA with 30 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Terri-ann Wattsman, MD NPI is 1598737843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1994

The provider's business location address is:

4348 ELECTRIC RD
ROANOKE, VA
ZIP 24018-720
Phone: (540) 769-0976
Fax: (540) 857-5383

The NPI 1598737843 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 2/2/2006 and was last updated on 10/19/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	01068504A	INDIANA	Yes
2	208600000X	Surgery		0101-053004	VIRGINIA	No
3	208600000X	Surgery		01068504A	INDIANA	No
4	208600000X	Surgery		0101053004	VIRGINIA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7309929	MEDICAID	VIRGINIA
2	200993180	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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