Jack W Mcwatters is a Specialist in Columbia, Maryland. Jack W Mcwatters practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jack W Mcwatters is 1083681118. The last update date is 2009-01-22.
Jack W Mcwatters's current location address is 11085 Little Patuxent Pkwy, Columbia, Maryland. You can contact this provider via phone number 4109977979 and fax number 4109979231. The mailing address for Jack W Mcwatters is 11085 Little Patuxent Pkwy, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack W Mcwatters |
|---|---|
| Address | 11085 Little Patuxent Pkwy, Columbia, Maryland |
| Phone Number | 4109977979 |
| Fax Number | 4109979231 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083681118 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2009-01-22 |
Provider Mailing Address Detail
| Address | 11085 Little Patuxent Pkwy |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210442983 |
| Phone Number | 4109977979 |
| Fax Number | 4109979231 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D27237 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5 | MD | CAREFIRST BCBS PPO,SPP,BC | |
| 4071 | MD | AMERIGROUP | |
| 21750 | MD | JHHC | |
| 403161000 | MD | -- | |
| 481422 | MD | AETNA HEALTHCARE HMO | |
| 2500675 | MD | UNITED HEALTHCARE | |
| 225079 | MD | MAMSI CARDIOLOGY | |
| 35016302 | MD | CAREFIRST BCBS MD | |
| 4105495 | MD | AETNA HEALTHCARE NON-HMO |
Post Comment/ Review Below
What is the unique identification code assigned to Jack W Mcwatters by the Centers for Medicare & Medicaid Services?
The Jack W Mcwatters has been issued the NPI (National Provider Identifier) 1083681118. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jack W Mcwatters?
The Jack W Mcwatters is situated at 11085 Little Patuxent Pkwy, in the city of Columbia, state of MD, with the zip code 210442983.
What is Jack W Mcwatters's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack W Mcwatters is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083681118 to Jack W Mcwatters?
The Centers for Medicare & Medicaid Services originally issued the 1083681118 to Jack W Mcwatters on 2006-03-07.
As of what date were the details pertaining to Jack W Mcwatters last refreshed?
The information related to the Jack W Mcwatters, including its address, specialty, and other relevant details, was last updated on 2009-01-22.
NPI Number: 1215930425
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