DR. WALTER G BROADNAX (NPI# 1003940032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003940032 |
| Entity Type | Individual |
| Full Name | DR. WALTER G BROADNAX |
| Credential | M.D. |
| Practice Address |
5505 Fair Ln Cincinnati OH 45227-3401 |
| Mailing Address |
1220 Paddock Hills Ave Cincinnati OH 45229-1218 |
| Practice Telephone | 5134217246 |
| Practice Fax Number | 5134217796 |
| Mailing Telephone | 5134217246 |
| Mailing Fax Number | 5134217796 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
35060685 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0860917 | 05 |
| Street Address |
5505 FAIR LN |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45227-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068829 | Lotus Integrative Therapy LLC | Music Therapist | 3814 West Street Suite #112 Lotus Integrative Therapy, Marlemont, OH 45227 | 2020-03-16 |
| 1275173528 | Jessica Lynn Richter | Community Health Worker | 3950 Red Bank Rd., Cincinnati, OH 45227 | 2020-01-14 |
| 1255986048 | Osharae Paul | Licensed Practical Nurse | 6017 Clephane Ave # 1, Cincinnati, OH 45227 | 2019-08-08 |
| 1285153262 | Philip Jason Jemison I | Specialist | 5050 Madison Road, Cincinnati, OH 45227 | 2017-09-12 |
| 1447778600 | Priya V Nair | Speech-Language Pathologist | 4390 Centennial Dr #187, Cincinnati, OH 45227 | 2017-09-07 |
| 1003230194 | Kathryn Elizabeth Dinh | Nurse Practitioner | 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 | 2014-02-10 |
| 1922437680 | Trust Us | Home Health | 4208 Simpson Ave, Cincinnati, OH 45227 | 2013-11-04 |
| 1467880930 | Benjamin P Spotts | Physical Therapist | 7215 Wooster Pike, Cincinnati, OH 45227 | 2013-10-21 |
| 1407289515 | Pamela Bell | Midwife | 5011 Kenwood Rd, Cincinnati, OH 45227 | 2013-08-12 |
| 1497199038 | Richard George Wendel | Urology | 6722 Hammerstone Way, Cincinnati, OH 45227 | 2013-04-25 |
| Find all providers in zip 45227 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134135882 | Ashraf S Nassef Md Inc | Psychiatry & Neurology | 4404 Glen Este Withamsville Rd, Cincinnati, OH 45245-1306 | 2006-08-01 |
| 1427160944 | Onassis A Caneris | Psychiatry & Neurology | 4805 Montgomery Rd, Suite 210, Cincinnati, OH 45212-2198 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835893 | Premier Pharmaceutical Solutions | Psychiatry & Neurology | 7973 Truman Trl, Reynoldsburg, OH 43068-9315 | 2020-09-10 |
| 1487170205 | William Ward Bedilion | Psychiatry & Neurology | 200 Stanley Mills Rd, Little Hocking, OH 45742 | 2017-08-15 |
| 1275964934 | Mana Medical, Inc. | Psychiatry & Neurology | 880 Greenlawn Ave, Columbus, OH 43223-2616 | 2013-12-06 |
| 1942545546 | Amr LLC | Psychiatry & Neurology | 6096 E Main St Ste 103, Columbus, OH 43213-4302 | 2012-12-07 |
| 1851608087 | Industrial Health Consultants | Psychiatry & Neurology | 5660 Monroe St, Suite 7, Sylvania, OH 43560-2733 | 2010-09-09 |
| 1912094145 | Western Reserve Professional Group | Psychiatry & Neurology | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2006-10-09 |
| 1962437947 | Lutheran Hospital | Psychiatry & Neurology | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-07-11 |
| 1689606295 | Sarah Elizabeth Blake | Psychiatry & Neurology | 3600 Olentangy River Rd, Bldg 480, Columbus, OH 43214-3437 | 2006-07-06 |
| City | CINCINNATI |
| Zip Code | 45227 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.