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MOUNTAIN MEDICAL OF WATERTOWN
NPI 1306068812
Physician Assistant in Watertown, NY

Active since May 03, 2007
457 GAFFNEY DR, WATERTOWN, NY 13601(315) 779-2273(315) 779-2274 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Medical Of Watertown NPPES

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

MOUNTAIN MEDICAL OF WATERTOWN (NPI 1306068812) is a healthcare organization registered as a physician assistant in Watertown, New York and active in the NPI registry since May 2007. The organization lists Mark A Knowles, Pa, as its authorized official.

NPPES Registry Identity

NPI1306068812
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMOUNTAIN MEDICAL OF WATERTOWN
Location Address457 GAFFNEY DRWatertown, NY 13601
Mailing Address457 Gaffney DrWatertown, NY 13601 · (315) 779-2273 · Fax (315) 779-2274
Phone(315) 779-2273
Fax(315) 779-2274
Organization SubpartNo
Authorized OfficialMark A KnowlesPa · (315) 779-2273
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306068812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 001608-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
457 GAFFNEY DR, Watertown, NY 13601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

WATERTOWN URGENT CARE PLLC
Internal Medicine
457 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 779-2273
JOSEPH RAYMOND DONOGHUE JR. FNP
Nurse Practitioner (Family)
457 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 779-2273
SELINA M VILLANUEVA N.P.
Nurse Practitioner (Family)
457 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 779-2273

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 Mountain Medical Of Watertown's NPI number?

The NPI number for Mountain Medical Of Watertown is 1306068812. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Mountain Medical Of Watertown located?

Mountain Medical Of Watertown is located at 457 Gaffney Dr, Watertown, NY 13601. The listed phone number is (315) 779-2273.

What is Mountain Medical Of Watertown's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mountain Medical Of Watertown was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.