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JACK THOMAS WATSON
NPI 1417891243
Physician Assistant in Emporia, KS

Active since April 14, 2026
1201 W 12TH AVE, EMPORIA, KS 66801(620) 343-6800 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1417891243
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK THOMAS WATSON
Location Address1201 W 12TH AVEEmporia, KS 66801-2504
Mailing Address7400 W 37th St N Apt 416Wichita, KS 67205-3322 · (785) 320-0274
Phone(620) 343-6800
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 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
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.
1201 W 12TH AVE, Emporia, KS 66801
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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.

NEWMAN OCCUPATIONAL HEALTH
Clinic/Center (Occupational Medicine)
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800
LISA LYNN JOHNSON APRN
Nurse Practitioner (Family)
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800
RENEE ELAINE PANKASKIE DNP-FNP, NP-C
Nurse Practitioner
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800
RENEE RACHELLE SINCLAIR CRNA MAE
Nurse Anesthetist, Certified Registered
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800
RENAL CARE GROUP OF THE MIDWEST INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800
MELISSA J BANE-SHELTON LSCSW
Social Worker (Clinical)
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800
BRENDA LEE MOTR/L
Occupational Therapist
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800
RACHEL LAUREN WERLING RD
Dietitian, Registered
1201 W 12TH AVE
EMPORIA, KS 66801
Lyon County (620) 343-6800

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 1201 W 12th Ave, Emporia, KS 66801. The listed phone number is (620) 343-6800.

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 April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.