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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK THOMAS WATSON
NPI 1417891243
Physician Assistant in Emporia, KS

Active since April 14, 2026
1301 W 12TH AVE STE 301, EMPORIA, KS 66801(620) 343-2376(620) 343-5987 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 28, 2026, Apr 14, 2026 (2 updates tracked since 2026).

About Jack Thomas Watson NPPES

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

JACK THOMAS WATSON (NPI 1417891243) is an individual physician assistant in Emporia, Kansas, licensed in Kansas (15-03311) and active in the NPI registry since April 2026. He maintains a secondary practice location in Emporia.

NPPES Registry Identity

NPI1417891243
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK THOMAS WATSON
Location Address1301 W 12TH AVE STE 301Emporia, KS 66801-2590
Mailing Address1201 W 12th AveEmporia, KS 66801-2504 · (620) 343-6800 · Fax (620) 341-7821
Phone(620) 343-2376
Fax(620) 343-5987
Sole ProprietorNo
Enumeration DateApril 14, 2026
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1417891243 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 KS · 15-03311
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.
1301 W 12TH AVE STE 301, Emporia, KS 66801
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Secondary Practice Location 1

Location 11201 W 12th AveEmporia, KS 66801-2504 · Phone (620) 343-6800

Other Providers at the Same Location NPPES 12

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

DR. TIMOTHY PAUL HARRIS D.O.
Surgery
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376
ROGER W ROBERTS D.O.
Internal Medicine (Cardiovascular Disease)
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376
NEWMAN MEMORIAL COUNTY HOSPITAL
Clinic/Center (Rural Health)
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376
JENNIFER ESAU DO
Family Medicine
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376
DR. JONATHAN CHARLES BATES MD
Internal Medicine
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376
ANNA LASOTA DO
Family Medicine
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376
DYLLAN LANDRY MD
Surgery
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376
RYAN LASOTA MD
Family Medicine
1301 W 12TH AVE STE 301
EMPORIA, KS 66801
Lyon County (620) 343-2376

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 Watson's NPI number?

The NPI number for Jack Watson is 1417891243. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Jack Watson located?

Jack Watson practices at 1301 W 12th Ave Ste 301, Emporia, KS 66801. The listed phone number is (620) 343-2376.

What is Jack Watson'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 Jack Watson was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.