WATERTOWN PHYSICIAN PRACTICES LLC
NPI 1699315366
Family Medicine in Watertown, WI

Q: What is Watertown Physician Practices LLC's NPI number?

The NPI number for Watertown Physician Practices LLC is 1699315366. It was assigned to this organization in the NPPES registry on January 10, 2020.

Q: What is Watertown Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 10, 2020

111 DODGE ST, WATERTOWN, WI 53094(920) 262-1460 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Jan 10, 2020 (2 updates tracked since 2020).

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About Watertown Physician Practices Llc NPPES

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

WATERTOWN PHYSICIAN PRACTICES LLC (NPI 1699315366) is a healthcare organization registered as a family medicine in Watertown, Wisconsin and active in the NPI registry since January 2020. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1699315366

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWATERTOWN PHYSICIAN PRACTICES LLC

Location Address111 DODGE STWatertown, WI 53094-4434

Mailing Address680 S 4th StLouisville, KY 40202-2407 · (502) 596-6063

Phone(920) 262-1460

Organization SubpartNo

Authorized OfficialJohnetta TraylorAo · (502) 596-6063

Enumeration DateJanuary 10, 2020

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1699315366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X

111 DODGE ST, Watertown, WI 53094

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

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