MEDICARE: KEITH A WATSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35-04-3758-W	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	160038944	OTHER	OH	R/R MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	311144553026	OTHER	OH	CARESOURCE PIN

General Provider Information

NPI Number	:	1386623817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH A WATSON MD

Provider Business Mailing Address
First Line	:	100 KAHOE LN
Second Line	:
City	:	YELLOW SPRINGS
State	:	OH
Zip	:	45387-1243
Country	:	US
Telephone Number	:	937-767-7311
Fax Number	:	937-767-7107

Provider Business Practice Location Address
First Line	:	100 KAHOE LN
Second Line	:
City	:	YELLOW SPRINGS
State	:	OH
Zip	:	45387-1243
Country	:	US
Telephone Number	:	937-767-7311
Fax Number	:	937-767-7107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/28/2011

Similar Medicare Providers

1265735062 — KEITH A WATSON MD INC
Practice Location Address:

100 KAHOE LN
YELLOW SPRINGS, OH
45387-1243

Practice Phone: 937-767-7311
Practice Fax:

1356639397 — PREMIER HEALTH SPECIALISTS INC
Practice Location Address:

100 KAHOE LN
YELLOW SPRINGS, OH
45387-1243

Practice Phone: 937-767-7311
Practice Fax: 937-767-7107

1033104740 — MR. JOHN HAROLD JORGENSEN LCSW
Practice Location Address:

313 N TEJON ST
COLORADO SPRINGS, CO
80903-1243

Practice Phone: 719-629-6406
Practice Fax:

1487880837 — WARRIOR SUPPORT CENTER
Practice Location Address:

313 N TEJON ST , SUITE 15
COLORADO SPRINGS, CO
80903-1243

Practice Phone: 719-640-5445
Practice Fax: 719-687-1894

1477789592 — ALICIA JAKOMAIT
Practice Location Address:

313 N TEJON ST , OFFICE15
COLORADO SPRINGS, CO
80903-1243

Practice Phone: 719-321-5600
Practice Fax:

1215238605 — THINKINGFEELINGBEING
Practice Location Address:

313 N TEJON ST , STE 1
COLORADO SPRINGS, CO
80903-1243

Practice Phone: 719-321-5600
Practice Fax:

Directions to “ KEITH A WATSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.