DR. JO ANN WATSON M.D. NPI 1609189638

NPI Information

  • NPI: 1609189638
  • Provider Name: DR. JO ANN WATSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 704 S WEBSTER AVE
    SUITE 200
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 433-3456

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NPI Details

DR. Jo Ann Watson, M.D. is a family medicine in Green Bay, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jo Ann Watson, M.D. NPI is 1609189638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

704 S WEBSTER AVE
SUITE 200
GREEN BAY, WI
ZIP 54301-528
Phone: (920) 433-3456

The enumeration date for this NPI number is 7/19/2010 and was last updated on 3/5/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine49864COLORADONo
2207Q00000XFamily Medicine23900-20WISCONSINYes

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
1075100119MEDICARE OSCAR/CERTIFICATIONWISCONSIN
2P0092982MEDICARE OSCAR/CERTIFICATION
3100200066MEDICARE OSCAR/CERTIFICATIONWISCONSIN
4002150233MEDICARE OSCAR/CERTIFICATION
51119013MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6590050052MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7071700056MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8072900059MEDICARE OSCAR/CERTIFICATION
9430800038MEDICARE OSCAR/CERTIFICATIONWISCONSIN
10D33595MEDICARE UPINWISCONSIN

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: 11/21/2025

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