Physician Compare National (NPI:1013930692)

HEALTHCARE PROVIDER: JOSEPH R WATSON D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013930692
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173580669
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050428000412
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WATSON
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BERKS E.N.T. SURGICAL ASSOCIATES, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5799773933
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1 GRANITE POINT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	WYOMISSING
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	196101992
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6103769728
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	READING HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y