DR. WALTER W IMMEL (NPI# 1104826429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104826429 |
Entity Type | Individual |
Full Name | DR. WALTER W IMMEL |
Credential | M.D. |
Practice Address |
5510 Alma Ln Springfield VA 22151-4012 |
Practice Telephone | 7036425990 |
Practice Fax Number | 7036425003 |
Mailing Telephone | 7036425990 |
Mailing Fax Number | 7036425003 |
Enumeration Date | 2005-07-28 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101039106 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | BCBS DC CAPCARE | 45560002 | 01 |
VA | AFFORDABLE FIRST HEALTH | 723556 | 01 |
VA | CIGNA HMO | 1965376002 | 01 |
VA | HEALTHKEEPERS | 224009 | 01 |
VA | AETNA/US HEALTHCARE | 2006963 | 01 |
VA | TRIGON KEYAD | 224009 | 01 |
VA | UNITED HEALTH MID-ATLANTI | 2900633 | 01 |
VA | AHP MGD CHOICE | 4091831 | 01 |
VA | MDIPA/OPTIMUM CHOICE/MAMS | 51166 | 01 |
VA | NCPPO | 505112 | 01 |
VA | ONE HEALTH GREATWEST | 630385 | 01 |
VA | UNITED HEALTH VIRGINIA | 2900048 | 01 |
VA | 5819393 | 05 |
Street Address |
5510 ALMA LN |
City | SPRINGFIELD |
State | VA |
Zip Code | 22151-4012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225038110 | Victoria Regina Currall | Internal Medicine | 5510 Alma Ln, Springfield, VA 22151-4012 | 2005-07-21 |
1760874770 | Tripta Resham Singh | Internal Medicine | 5510 Alma Ln, Springfield, VA 22151-4027 | 2015-02-27 |
1982903829 | Sapna Sharma | Internal Medicine | 5510 Alma Ln, Springfield, VA 22151-4027 | 2011-03-17 |
1417252974 | Audrey Elizabeth Keen | Physician Assistant | 5510 Alma Ln, Springfield, VA 22151-4027 | 2011-01-13 |
1811121213 | Dennis Tri Nguyen | Hospitalist | 5510 Alma Ln, Springfield, VA 22151-4027 | 2009-05-13 |
1700029295 | Sarah Johns | Physician Assistant | 5510 Alma Ln, Springfield, VA 22151-4027 | 2009-04-13 |
1346426210 | Fairfax Radiological Consultants PC | Specialist | 5510 Alma Ln, Ste 100, Springfield, VA 22151-4027 | 2008-01-10 |
1477690832 | Linda Diane Firth-blackburn | Physician Assistant | 5510 Alma Ln, Suite 200, Springfield, VA 22151-4027 | 2007-02-01 |
1225083223 | Virginia Medical Alliance PC | Internal Medicine | 5510 Alma Ln, Springfield, VA 22151-4012 | 2006-05-24 |
1225038466 | Stacy Y Oshry | Internal Medicine | 5510 Alma Ln, Springfield, VA 22151-4012 | 2005-07-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
1073093563 | Joy Home Health Care, LLC | Home Health | 6820 Commercial Drive, Suite #14, Springfield, VA 22151 | 2018-08-15 |
1457842676 | Community Concepts, Inc. | Behavioral Analyst | 9001 Braddock Rd Ste 220, Springfield, VA 22151 | 2018-05-23 |
1245741172 | Abf Home Healthcare Services, LLC | Nursing Care | 6820 Commercial Drive Suite D, Springfield, VA 22151 | 2017-10-18 |
1720597834 | Katelyn E Prue | Behavioral Analyst | 5414 Backlick Road, C, Springfield, VA 22151 | 2017-09-21 |
1144763806 | Marcus Rein | Physical Therapist | 6805 Industrial Rd, Springfield, VA 22151 | 2016-11-29 |
1760843676 | Pablo Enrique Moro | Counselor | 5415-c Backlick Rd, Springfield, VA 22151 | 2016-03-19 |
1780938332 | Leticia Duah | Registered Nurse | 8551 Newington Forest Court, Springfield, VA 22151 | 2012-11-05 |
1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
1952563033 | Nhu-anh Nguyen | Pharmacist | 5424 Backlick Road, Springfield, VA 22151 | 2008-06-30 |
Find all providers in zip 22151 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578805610 | Paul Edmond St. Romain | Internal Medicine | 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 | 2013-03-26 |
1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
1649542713 | Robert Earl Stufflebam | Internal Medicine | 3895 E Pond Apple Dr, Springfield, MO 65809-3752 | 2012-02-03 |
1265668263 | Davis L Sim | Internal Medicine | 3355 Riverbend Dr 500, Springfield, OR 97477 | 2009-06-04 |
1558549428 | Cheng Zhang | Internal Medicine | 30 W Mccreight Ave Ste 211, Springfield, OH 45504-1853 | 2008-02-04 |
1114072444 | John N Green | Internal Medicine | 90 Us Highway 22 W, Springfield, NJ 07081-3110 | 2007-01-25 |
1801944632 | Srinivas Channapragada | Internal Medicine | 43 Green Hill Rd, Springfield, NJ 07081-3615 | 2007-01-08 |
1598778805 | Challa Ajit | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2433 | 2006-08-15 |
1215975339 | Gregory Lloyd Lyford | Internal Medicine | 1001 East Primrose St, Springfield, MO 65807 | 2006-06-02 |
1467430959 | Harry H Park | Internal Medicine | 1007 Harlow Rd, Ste 210, Springfield, OR 97477-7124 | 2006-01-04 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 22151 |
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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.