Healthcare Provider Details

I. General information

NPI: 1043524424
Provider Name (Legal Business Name): JEFFREY L. WATTS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EDGEWOOD DRIVE EXT
TRANSFER PA
16154-1817
US

IV. Provider business mailing address

225 EDGEWOOD DRIVE EXT
TRANSFER PA
16154-1817
US

V. Phone/Fax

Practice location:
  • Phone: 724-646-7246
  • Fax: 724-928-9113
Mailing address:
  • Phone: 724-646-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number58-003552
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: