Provider Demographics
NPI:1740238229
Name:WATTS, NELSON BARNETT (MD)
Entity Type:Individual
Prefix:
First Name:NELSON
Middle Name:BARNETT
Last Name:WATTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 E GALBRAITH RD
Mailing Address - Street 2:STE 208
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6703
Mailing Address - Country:US
Mailing Address - Phone:513-686-2663
Mailing Address - Fax:513-686-3637
Practice Address - Street 1:4760 E GALBRAITH RD
Practice Address - Street 2:STE 208
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6703
Practice Address - Country:US
Practice Address - Phone:513-686-2663
Practice Address - Fax:513-686-3637
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-079959207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH110247916OtherRAIL ROAD MEDICARE
IN200160860Medicaid
OH2262368Medicaid
KY64037526Medicaid
KY64037526Medicaid
OHWA4058031Medicare PIN