Provider Type Icon

DR. MYRA JUNE WATSON D.O. NPI 1366448425


NPI Information

NPI: 1366448425
Provider Name: DR. MYRA JUNE WATSON, D.O.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1205 W BROADWAY
COLUMBIA, MO
ZIP 65203
Phone: (573) 499-0642
Get Directions

DR. Myra June Watson, D.O. is a nephrology internal medicine in Columbia, MO with 29 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Myra June Watson, D.O. NPI is 1366448425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1995

The provider's business location address is:

1205 W BROADWAY
COLUMBIA, MO
ZIP 65203-125
Phone: (573) 499-0642
Fax: (573) 449-1787

The NPI 1366448425 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

The enumeration date for this NPI number is 6/23/2005 and was last updated on 4/9/2014.


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
1207RN0300XInternal MedicineNephrology108840MISSOURIYes

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
117496OTHERMISSOURIHEALTHCARE USA
23100096OTHERMISSOURIUNITED HEALTHCARE
3001013427MEDICARE PINMISSOURI
41911260OTHERMISSOURIFIRST HEALTH
5143430OTHERMISSOURIBLUE CROSS BLUE SHIELD
6390007475OTHERMISSOURIRAILROAD MEDICARE
77329520OTHERMISSOURIAETNA
8G99626OTHERMISSOURIMERCY
9245327309MEDICAIDMISSOURI
10000095119MEDICARE PINMISSOURI
11000623655OTHERMISSOURIHUMANA
12458323OTHERMISSOURIHEALTHLINK
13G99626MEDICARE UPINMISSOURI

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.