Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Wallace Carlisle Watson Jr., PA
Physician Assistant in Cuba, NY · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1073554150
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Mr. Wallace Carlisle Watson Jr.
Credential PA
Sex Male
Practice address 21 E Main St, Cuba, NY, 14727
Phone (585) 968-4357
Fax (585) 968-4356
Enumeration date Jun 9, 2006
Last updated in NPPES May 28, 2013
Taxonomy & licenses
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 0012551 (NY) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 001255 (NY) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0490352 | Other | NY | IHA |
| 00010257702 | Other | - | UNIVERA |
| 407113852 | Other | - | RAILROAD MEDICARE |
| 000508499002 | Other | NY | BCWNY |
| 2598491 | Other | - | GHI |
| 01531593 | Medicaid | NY | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Wallace Watson?
The National Provider Identifier (NPI) for Wallace Watson is 1073554150, a Type 1 (individual) record in the CMS NPPES registry.
Where does Wallace Watson practice?
The practice location on file with NPPES is in Cuba, NY. Providers can have multiple locations; NPPES lists the primary practice address.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-28.