Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas M Watanabe

Individual provider Emergency Medicine Physician · NPI 1629284872

Thomas M Watanabe is an Emergency Medicine in Clarksville, Tennessee. Graduated from Rush Medical College of Rush University in 2003, 23 years ago. Practices with Irv Edwards MD PC, a 33-clinician group and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
23
Trained at
Rush Medical College of Rush University
Licensed in
IL, TN
In the registry since
2007
Specialties on file
2

Practice location Address checks out

651 Dunlop Ln
Clarksville, TN 37040-5015
Phone: (931) 502-1370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 44158 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036116691 (IL)

Record details

NPI number1629284872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 22, 2011
Mailing address2020 21st Ave S Ste 201, Nashville, TN 37212-4354

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Irv Edwards Md Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clarksville