DR. MARK STEPHEN WALTON (NPI# 1073667275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073667275 |
| Entity Type | Individual |
| Full Name | DR. MARK STEPHEN WALTON |
| Credential | M.D. |
| Practice Address |
5370 College Blvd Suite 100 Overland Park KS 66211-1891 |
| Mailing Address |
5370 College Blvd Suite 100 Overland Park KS 66211-1935 |
| Practice Telephone | 9135994800 |
| Practice Fax Number | 9135992992 |
| Mailing Telephone | 9135994800 |
| Mailing Fax Number | 9135992992 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD105370 | MO | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
04-24974 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KANSAS | 101450 | 01 |
| KS | 100161420A | 05 | |
| UNITEDHEALTH CARE | 1008080 | 01 | |
| MO | BCBS OF KANSAS CITY | 21144013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679076459 | Mark David Walton | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2018-03-17 |
| 1437571106 | Mark C Walton | Case Manager/Care Coordinator | 2500 Bissell Ave, Richmond, CA 94804-1815 | 2014-01-14 |
| 1710318944 | Mark Walton | Community Health Worker | 919 Lawyers Ln, Columbus, GA 31906-3129 | 2013-12-13 |
| 1770925844 | Mark Howard Walton IIi | Pharmacist | 12341 Oakwind Pl, Seminole, FL 33772-2010 | 2013-07-18 |
| Street Address |
5370 COLLEGE BLVD SUITE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790774164 | William Harold Doyle | Dentist | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1621 | 2005-10-19 |
| 1619356326 | Brianna Ganson, Dds, LLC | Dentist | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1935 | 2015-05-27 |
| 1609107853 | Robert J Dockhorn | Spec/Tech, Pathology | 5370 College Blvd, Overland Park, KS 66211-1935 | 2010-01-27 |
| 1679716732 | Mitchell Challis | Otolaryngology | 5370 College Blvd, Overland Park, KS 66211-1935 | 2009-04-19 |
| 1568632206 | William H. Doyle,d.d.s.,p.a. | Clinic/Center | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1621 | 2008-03-10 |
| 1942354246 | Steven Frank Ellis | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
| 1942354014 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
| 1598819849 | Robert F Thompson | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871712380 | Richard B. Price, M.d., P.a. | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1324 | 2007-04-24 |
| 1942354246 | Steven Frank Ellis | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
| 1942354014 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
| 1598819849 | Robert F Thompson | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487779922 | Jean-michel, Hassan, Md Southwest Clinic Inc | Otolaryngology | 555 W 15th St Ste D, Liberal, KS 67901-2468 | 2007-03-21 |
| 1346386265 | Kansas University Physicians Inc | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160 | 2007-01-29 |
| 1205981263 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 4951 W 18th St, Lawrence, KS 66047-2090 | 2007-01-23 |
| 1194769943 | Douglas A Girod | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160-0001 | 2006-06-15 |
| 1508804667 | Yelizaveta Shnayder | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Kansas City, KS 66160-8500 | 2006-06-02 |
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.