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DR. CAREY LANE WATSON M.D. NPI 1679891097


NPI Information

NPI: 1679891097
Provider Name: DR. CAREY LANE WATSON, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN
ZIP 46804
Phone: (260) 469-7337
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DR. Carey Lane Watson, M.D. is a pediatric surgery surgery in Fort Wayne, IN with 14 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Carey Lane Watson, M.D. NPI is 1679891097. 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:

7613 W JEFFERSON BLVD STE 200
FORT WAYNE, IN
ZIP 46804-182
Phone: (260) 469-7337
Fax: (260) 469-7340

The NPI 1679891097 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 5/10/2010 and was last updated on 8/23/2019.


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
1208600000XSurgery01081997AINDIANANo
22086S0120XSurgeryPediatric Surgery01081997AINDIANAYes

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.