Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881906022 Individual Practitioner Male Practitioner

Dr. Samuel Jacob Watson , MD

Pediatrics • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Watson, MD is a registered healthcare professional specializing in Pediatrics in Lexington, KY. Practice services are available at 1640 BRYAN STATION RD STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1640 Bryan Station Rd Ste 1

Lexington, KY 405052144

Telephone 8592882425
Fax 8597213918
Associated Practice Facility / Clinic
🏢 Healthfirst Bluegrass Inc Facility NPI 1114932514

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
119 Specialists

Practicing in Lexington, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 46559

A pediatrician 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100253290 (KY)
Commercial Insurance / Payer ID Certification
108752 (KY)
Commercial Insurance / Payer ID Kentucky Board Of Medical Licensure
46559 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bhavini Mody , APRN

Nurse Practitioner - Pediatrics

NPI 1023270568

Advanced Practice Registered Nurse

Meagan Gee , LCSW

Social Worker - Clinical

NPI 1023580834

Licensed Clinical Social Worker

Roslyn Young , APRN, BS

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1033186135

Advanced Practice Registered Nurse, Bachelor of Science

NPI 1033264379

Licensed Clinical Social Worker

Lori Frye

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033677646
Dr. Sofeia Aslam , DO

Psychiatry & Neurology - Psychiatry

NPI 1053816819

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 27, 2019

Registered at 1640 BRYAN STATION RD STE 1, LEXINGTON, KY 405052144 (Tel: 8592882425)

📍
Updated Business Mailing Address March 27, 2019

Registered at 496 SOUTHLAND DR, LEXINGTON, KY 405031827 (Tel: 8592882392)

NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2017

Registered at 303 S 4TH ST, DANVILLE, KY 404222091 (Tel: 8592361080)

📍
Updated Business Mailing Address March 08, 2017

Registered at 303 S 4TH ST, DANVILLE, KY 404222091 (Tel: 8592361080)

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as SAMUEL WATSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Pediatrics (License #46559 in KY)

NPI Profile Active August 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2013

Registered at 303 S 4TH ST, DANVILLE, KY 404222091 (Tel: 8592361080)

📍
Updated Business Mailing Address August 01, 2013

Registered at 303 S 4TH ST, DANVILLE, KY 404222091 (Tel: 8592361080)

👤
Provider Name / Credentials Updated August 01, 2013

Recorded as SAMUEL WATSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2013

Pediatrics (License #TP348 in KY)

🟢
Initial NPI Registration & Enumeration July 03, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881906022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2010
Last Update: March 13, 2023
Sole Proprietor: No

Mailing Address

496 Southland Dr

Lexington, KY 405031827

Phone: 8592882392

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.