DR. WALTER W IMMEL


Address: 5510 Alma Ln, Springfield, VA 22151-4012
Phone: 7036425990

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
0101039106 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 5510 ALMA LN
City SPRINGFIELD
State VA
Zip Code 22151-4012

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SPRINGFIELD
Zip Code 22151

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Dataset Information

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.

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