Healthcare Provider Details

I. General information

NPI: 1922032390
Provider Name (Legal Business Name): CATHERINE L WATTS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE
CINCINNATI OH
45219
US

IV. Provider business mailing address

11943 DUBARRY DR
CARMEL IN
46033-8258
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2321
  • Fax:
Mailing address:
  • Phone: 317-752-2321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.057179
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number35.057179
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number01062772A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: