Individual
WILLIAM R. WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5238
(740) 441-8058
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5227
(740) 441-8058
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
18395
WV
207L00000X
Anesthesiology Physician
Primary
35-06-8356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006613
ANTHEM BCBS
—
01
—
000000193911
UNISON MEDICAID #
OH
01
—
001369668
MOUNTAIN STATE BCBS
—
05
—
0061182000
—
WV
01
—
0158565
MOLINA MEDICAID #
OH
05
—
0158565
—
OH
01
—
050040164
RR MEDICARE
OH
Enumeration date
06/26/2006
Last updated
01/11/2021
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