TIMOTHY WATSON MD NPI 1649253295

NPI Information

  • NPI: 1649253295
  • Provider Name: TIMOTHY WATSON, MD
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1630 E HERNDON AVE
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 256-5200

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NPI Details

Timothy Watson, MD is an orthopaedic surgery of the spine orthopaedic surgery in Fresno, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Timothy Watson, MD NPI is 1649253295. 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:

1630 E HERNDON AVE
FRESNO, CA
ZIP 93720-305
Phone: (559) 256-5200
Fax: (559) 256-5376

The NPI 1649253295 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 11/28/2005 and was last updated on 5/9/2008.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineG54436CALIFORNIAYes

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
1C04306MEDICARE UPINCALIFORNIA
200G544360MEDICARE PINCALIFORNIA
3P00005381OTHERCALIFORNIARAILROAD MEDICARE
40170233OTHERCALIFORNIASTATE OF WASHINGTON
500G544361MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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