Samuel Jacob Watson
M.D. | Pediatrics | Male
Samuel Jacob Watson, M.D. is a Lexington, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Samuel Jacob Watson is
1640 Bryan Station Rd Ste 1, Lexington, Kentucky - 40505-2144. He can be contacted on phone at
859-288-2425 and fax number 859-721-3918.
Samuel Jacob Watson is a sole proprietor of his business.
NPI number (Unique professional ID) for Samuel Jacob Watson is
1881906022 which was assigned by NPPES on 03 Jul, 2010 and it was last updated on 13 Mar, 2023.
Samuel Jacob Watson license number is
46559 for Pediatrics (208000000X) in Kentucky.
Samuel Jacob Watson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Samuel Jacob Watson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Samuel Jacob Watson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Samuel Jacob Watson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1640 Bryan Station Rd Ste 1
Lexington, KY, 40505-2144
United States |
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| Phone Number : | 859-288-2425 |
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| Fax Number : | 859-721-3918 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881906022 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jul, 2010 |
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| Last Updated On : | 13 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Jacob Watson are as mentioned. Primary taxonomy code for Samuel Jacob Watson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 46559 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Samuel Jacob Watson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 108752 | Other (non-Medicare) | KY | Certification |
| 46559 | Other (non-Medicare) | KY | Kentucky Board of Medical Licensure |
| 7100253290 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 496 Southland Dr
Lexington, KY, 40503-1827
United States |
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| Phone Number : | 859-288-2392 |
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| Fax Number : | 859-721-3918 |
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Business Location:
Patients can refer following map for directions to
Samuel Jacob Watson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.