JACQUELYN R WATSON MD NPI 1801881065

NPI Information

NPI: 1801881065
Provider Name: JACQUELYN R WATSON, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
200 N PARK ST
WEST MICHIGAN CANCER CENTER
KALAMAZOO, MI
ZIP 49007
Phone: (269) 373-7474
Get Directions

Jacquelyn R Watson, MD is a radiation oncology radiology in Kalamazoo, MI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Jacquelyn R Watson, MD NPI is 1801881065. 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:

200 N PARK ST
WEST MICHIGAN CANCER CENTER
KALAMAZOO, MI
ZIP 49007-731
Phone: (269) 373-7474

The enumeration date for this NPI number is 9/14/2005 and was last updated on 9/21/2009.

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	2085R0001X	Radiology	Radiation Oncology	404424	MICHIGAN	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	B48857	MEDICARE UPIN	MICHIGAN
2	292222010	MEDICAID	MICHIGAN
3	N66670009	MEDICARE PIN	MICHIGAN
4	D16289003	MEDICARE PIN	MICHIGAN
5	0C96059	OTHER	MICHIGAN	BCBSM
6	1801881065	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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