Dr. Shannon Watkins
Miss Shannon Renee Wright · Dermatology

Address: 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400
Phone: 2707815111

Dr. Shannon Watkins (NPI# 1902972441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1902972441
Entity Type Individual
Full Name Dr. Shannon Watkins
Other Name Miss Shannon Renee Wright
Credential M.D.
Gender Female
Practice Address 1065 Ashley St
Suite 200
Bowling Green
KY 42103-3400
Practice Telephone 2707815111
Practice Fax Number 2707800478
Mailing Address 1065 Ashley St
Suite 200
Bowling Green
KY 42103-3400
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-27
Last Update Date 2014-07-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207N00000X Dermatology Allopathic & Osteopathic Physicians ME 97022 FL
Yes 207N00000X Dermatology Allopathic & Osteopathic Physicians 41396 KY
No 207N00000X Dermatology Allopathic & Osteopathic Physicians 45270 TN

Other Provider Identifier

State Identifier Issuer Type Code
KY 7100046110 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1396126181 Shannon Rebecca Watkins Licensed Practical Nurse 233 Watkins Ln, Jacksboro, TN 37757-3826 2015-06-17
1841756822 Shannon Lauren Watkins Speech-Language Pathologist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2019-02-14
1487198594 Shannon Watkins Counselor 1018 21st St, Bakersfield, CA 93301-4709 2016-12-08
1144463779 Shannon Watkins Student in an Organized Health Care Education/Training Program 64 Robbins Street, Waterbury Hospital, Waterbury, CT 06708 2009-04-13
1629219795 Shannon Shay Watkins Occupational Therapy Assistant 100 Push Root Ct, Lander, WY 82520-3460 2009-03-18
1720107436 Shannon Watkins Speech-Language Pathologist 3440 S Oleander Dr, Chandler, AZ 85248-3655 2007-03-27

Physician Overview

NPI 1902972441
PAC ID by PECOS 7315018686
Professional Enrollment ID I20080612000890
Full Name Shannon W Watkins
Organization Legal Name GILBERT BARBEE MOORE AND MCILVOY PSC
Phone Number 2707815111
Gender F
Medical School UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 2004
Primary Specialty DERMATOLOGY
Group Practice PAC ID 4082511167
Number of Group Practice Members 210
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Office Location

Street Address 1065 ASHLEY ST
SUITE 200
City BOWLING GREEN
State KY
Zip Code 42103-3400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225034267 Jo Ann Jones Dermatology 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 2005-06-23
1093187304 Brianna Grider Physician Assistant 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 2015-10-26
1710238266 Kyle Allen Herald Physician Assistant 1065 Ashley St, Bowling Green, KY 42103-3400 2012-09-24
1447508809 Clubmd, LLC Clinic/Center 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 2012-08-16
1780946160 James Allred Dermatology 1065 Ashley St, Bowling Green, KY 42103-3400 2012-06-12
1811969298 Wilfred Amiscua Lumbang Dermatology 1065 Ashley St, Bowling Green, KY 42103-3400 2006-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063999662 Southern Kentucky Surgicenter, LLC Clinic/Center 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 2018-07-26
1780170936 Midsouth Psychological Services, LLC Psychologist 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 2018-07-10
1760976146 Prorehab Inc Clinic/Center 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 2018-06-19
1366979528 Laura Elizabeth Compton Optometrist 335 New Towne Drive, Bowling Green, KY 42103 2017-05-18
1033562632 Elizabette Raby Massage Therapist 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 2016-07-19
1063864056 Gilbert Barbee Moore & Mcilvoy Psc Durable Medical Equipment & Medical Supplies 165 Natchez Trace Ave Ste 100&200, Bowling Green, KY 42103 2016-07-01
1831572460 Casey Edward Travelsted Dentist 940 Us 31 W Bypass, Bowling Green, KY 42103 2015-07-01
1821435074 Robert Louis Skaggs II Dermatology 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 2013-05-29
1770893257 Michelle Howell Health Educator 261 Moats Lane, Bowling Green, KY 42103 2010-10-18
1952578593 Steven Snodgrass Surgery 996 Wilkinson Trace, Suite B 3, Bowling Green, KY 42103 2008-05-13
Find all providers in zip 42103

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609047083 Bowling Green Dermatology & Skin Cancer Specialists Pllc Dermatology 1106 Fairway Street, Bowling Green, KY 42103 2008-03-13
1902080559 John David Cowan Dermatology 1106 Fairway St, Bowling Green, KY 42103-2418 2007-12-18
1225034267 Jo Ann Jones Dermatology 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 2005-06-23
1780946160 James Allred Dermatology 1065 Ashley St, Bowling Green, KY 42103-3400 2012-06-12
1538337480 Dillon Dermatology LLC Dermatology 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 2008-02-13
1013093574 William I Dillon Dermatology 1037 Conneaut Ave, Suite 201, Bowling Green, OH 43402-5301 2006-10-27
1811969298 Wilfred Amiscua Lumbang Dermatology 1065 Ashley St, Bowling Green, KY 42103-3400 2006-02-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275973919 Advanced Dermatotlogy Associates, Psc Dermatology 2915 New Hartford Rd, Owensboro, KY 42303-1323 2013-06-26
1053757641 Chase Landon Wilson Dermatology 304 Boston Sq, Georgetown, KY 40324-9786 2013-05-22
1316206584 Carol B Thompson Dermatology 3475 Richmond Rd Ste 200, Lexington, KY 40509-2500 2012-05-09
1851665038 Shannon England Dermatology 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 2012-03-06
1659640878 George J. Gataky, P.s.c. Dermatology 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 2011-12-16
1811285117 Dermatology Associates of Pikeville, Pllc Dermatology 1098 S Mayo Trl Ste 211, Pikeville, KY 41501-1574 2011-07-20
1417240029 Tanner Jackson Parrent Dermatology 227 Burley Ave, Hopkinsville, KY 42240-8725 2011-05-16
1770806424 Kentucky Dermatology Clinic, Pllc Dermatology 120 State Ave, Glasgow, KY 42141-1451 2010-03-09
1629243860 J David Outland, M.d. Dermatology 300 S 8th St Ste 405e, Murray, KY 42071-2444 2008-04-29
1659542058 Ky Dermatology & Skin Cancer Dermatology 1750 Highway 192 W, London, KY 40741-2639 2008-03-13
Find all providers with the same taxonomy

Competitor

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City BOWLING GREEN
Zip Code 42103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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