DOUGLAS J WATKINS M.D. NPI 1992795652

NPI Information

NPI: 1992795652
Provider Name: DOUGLAS J WATKINS, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 229-4917
Get Directions

Douglas J Watkins, M.D. is a geriatric medicine family medicine in Saint Cloud, MN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Douglas J Watkins, M.D. NPI is 1992795652. 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:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 229-4917
Fax: (320) 229-5181

The NPI 1992795652 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 10/25/2005 and was last updated on 5/26/2010.

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	207Q00000X	Family Medicine		31999	MINNESOTA	No
2	207QG0300X	Family Medicine	Geriatric Medicine	31999	MINNESOTA	Yes

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	080073015	OTHER		RAILROAD MEDICARE
2	E02373	MEDICARE UPIN
3	COMP	OTHER		CHAMPUS
4	110935	OTHER		U-CARE
5	COMP	OTHER		ONE HEALTH PLAN/GREAT WST
6	438598	OTHER		PREFERRED ONE
7	86D81WA	OTHER		BLUE CROSS BLUE SHIELD
8	761592200	OTHER		MEDICAL ASSISTANCE (MA)
9	2114087	OTHER		FIRST HEALTH PLAN
10	COMP	OTHER		MMSI
11	761592200	MEDICAID	MINNESOTA
12	0707716	OTHER		MEDICA HEALTH PLANS
13	E02373	MEDICARE UPIN	MINNESOTA
14	HP22747	OTHER		HEALTH PARTNERS
15	601023	OTHER		ARAZ GROUP/AMERICAS PPO
16	080010838	MEDICARE PIN	MINNESOTA

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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