Provider Demographics
NPI:1043524424
Name:WATTS, JEFFREY L (DO)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:L
Last Name:WATTS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 EDGEWOOD DRIVE EXT
Mailing Address - Street 2:
Mailing Address - City:TRANSFER
Mailing Address - State:PA
Mailing Address - Zip Code:16154-1817
Mailing Address - Country:US
Mailing Address - Phone:724-646-7246
Mailing Address - Fax:
Practice Address - Street 1:225 EDGEWOOD DRIVE EXT
Practice Address - Street 2:
Practice Address - City:TRANSFER
Practice Address - State:PA
Practice Address - Zip Code:16154-1817
Practice Address - Country:US
Practice Address - Phone:724-646-7246
Practice Address - Fax:724-928-9113
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58-003552207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery