JACK W MCWATTERS MD
NPI 1083681118
Specialist in Columbia, MD

Active since March 07, 2006
11085 LITTLE PATUXENT PKWY, SUITE 101, COLUMBIA, MD 21044(410) 997-7979(410) 997-9231 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack W Mcwatters Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK W MCWATTERS MD (NPI 1083681118) is an individual specialist in Columbia, Maryland, licensed in Maryland (D27237) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1083681118
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJACK W MCWATTERSCredential: MD
Location Address11085 LITTLE PATUXENT PKWY, SUITE 101Columbia, MD 21044-2983
Mailing Address11085 Little Patuxent Pkwy, Suite 101Columbia, MD 21044-2983 · (410) 997-7979 · Fax (410) 997-9231
Fax(410) 997-9231
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateJanuary 22, 2009
NPI 1083681118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MD · D27237
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.

11085 LITTLE PATUXENT PKWY, Columbia, MD 21044

Other Identifiers 12

Medicare ID-Type Unspecified060062347MD · Railroad Medicare
Medicaid403161000MD
Other04071MD · Amerigroup
Medicare ID-Type Unspecified930L421EMD · Medicare
Other0005MD · Carefirst Bcbs Ppo,spp,bc
Other2500675MD · United Healthcare
Medicare UPINB41338MD
Other0481422MD · Aetna Healthcare Hmo
Other35016302MD · Carefirst Bcbs Md
Other225079MD · Mamsi Cardiology
Other4105495MD · Aetna Healthcare Non-hmo
Other21750MD · Jhhc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
11085 LITTLE PATUXENT PKWY, SUITE 004
COLUMBIA, MD 21044
Physical Therapist
11085 LITTLE PATUXENT PKWY, SUITE 207
COLUMBIA, MD 21044
Neurological Surgery
11085 LITTLE PATUXENT PKWY, SUITE LL-007
COLUMBIA, MD 21044
Nurse Practitioner
11085 LITTLE PATUXENT PKWY, 202
COLUMBIA, MD 21044
Psychiatry & Neurology (Neurology)
11085 LITTLE PATUXENT PKWY, SUITE 212
COLUMBIA, MD 21044
Physical Therapist
11085 LITTLE PATUXENT PKWY, PHYSICAL THERAPY PARTNERS, SUITE 207
COLUMBIA, MD 21044
Physician Assistant (Medical)
11085 LITTLE PATUXENT PKWY, STE 103
COLUMBIA, MD 21044
Physical Therapist
11085 LITTLE PATUXENT PKWY, SUITE 207
COLUMBIA, MD 21044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mcwatters's NPI number?

The NPI number for Jack Mcwatters is 1083681118. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Jack Mcwatters located?

Jack Mcwatters practices at 11085 Little Patuxent Pkwy Suite 101, Columbia, MD 21044. The listed phone number is (410) 997-7979.

What is Jack Mcwatters's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack Mcwatters was last updated on January 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.