DUSTIN M WALTERS (NPI# 1114122405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114122405 |
| Entity Type | Individual |
| Full Name | DUSTIN M WALTERS |
| Credential | MD |
| Practice Address |
1240 Lee St Charlottesville VA 22908-0001 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4342436828 |
| Practice Fax Number | 4342435781 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0101256181 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116019584 | VA | Student, Health Care |
| Street Address |
1240 LEE ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587246 | Tamila L. Kindwall- Keller | Internal Medicine | 1240 Lee St, Charlottesville, VA 22908-0001 | 2005-08-31 |
| 1780297341 | Megan Godsey Poole | Dietitian, Registered | 1240 Lee St, Charlottesville, VA 22908-6055 | 2020-08-24 |
| 1437774577 | Wendi Betting | Genetic Counselor, MS | 1240 Lee St, Charlottesville, VA 22908-0817 | 2020-06-15 |
| 1497376768 | Toni F Kistner | Registered Nurse | 1240 Lee St, Charlottesville, VA 22908-0817 | 2020-04-28 |
| 1851925093 | Christina J Taylor | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0816 | 2020-02-26 |
| 1447884960 | Jensen Carr | Pharmacist | 1240 Lee St, Charlottesville, VA 22908-0817 | 2020-02-24 |
| 1700436839 | Melody D Noble | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0816 | 2019-09-20 |
| 1619527322 | Joshua Humphrey | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0817 | 2019-09-14 |
| 1104482108 | Dale Hardaway Roper | Pharmacist | 1240 Lee St, Charlottesville, VA 22908-0817 | 2019-05-15 |
| 1710542345 | Danh Pham | Pharmacist | 1240 Lee St, Charlottesville, VA 22908-0817 | 2019-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366699894 | Thomas M. Daniel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1822 Westview Road, Charlottesville, VA 22903 | 2008-08-27 |
| 1730213349 | Ivan K. Crosby | Thoracic Surgery (Cardiothoracic Vascular Surgery) | The Heart Center Uva Hospital, Lee Street, 2nd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1417246695 | Kenan W Yount | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1215 Lee St, Charlottesville, VA 22908-2640 | 2011-03-28 |
| 1437378643 | Leora T. Yarboro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-04-25 |
| 1700919016 | Irving L. Kron | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-03-14 |
| 1841392164 | Linda W Martin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1240 Lee St, Charlottesville, VA 22908-0001 | 2006-09-05 |
| 1891723771 | James Joseph Gangemi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Lee St Fl 2, Charlottesville, VA 22908-0001 | 2006-06-29 |
| 1093786329 | Christopher D Willms | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181309 | Quantia Shenae Williford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 902 Summitt Ln Apt 4d, Newport News, VA 23601-2474 | 2018-10-24 |
| 1841733193 | Virginia Hospital Center Physician Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 N George Mason Dr Ste 288, Arlington, VA 22205-3683 | 2016-11-18 |
| 1356772461 | John Parker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 656 Lynn Shores Dr, Virginia Beach, VA 23452-2645 | 2013-11-29 |
| 1841574597 | Miguel H Gonzalez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 44112 Riverpoint Dr, Leesburg, VA 20176-8206 | 2011-09-29 |
| 1003107467 | Katherine Marie Klein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 E Marshall St # 980645, Richmond, VA 23298-5051 | 2011-04-20 |
| 1235456757 | Metropolitan Cardiac Surgical Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4123 N Ridgeview Rd, Mc Lean, VA 22101-5803 | 2010-04-23 |
| 1205168812 | Allen Pois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Deep Run Rd, Cartersville, VA 23027-9786 | 2010-02-06 |
| 1285841288 | Leo M Gazoni | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7101 Jahnke Rd Ste 500, Richmond, VA 23225-4017 | 2007-05-17 |
| 1194854430 | Robert A Albus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2980 Fairview Park Dr, 2nd Floor, Falls Church, VA 22042-4511 | 2007-03-04 |
| 1366592297 | Clinton Dunkel Kemp | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Gresham Dr Ste 8600, Norfolk, VA 23507-1904 | 2007-01-11 |
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| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.