JEFFREY M. WALTHOUR (NPI# 1124478425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124478425 |
| Entity Type | Individual |
| Full Name | JEFFREY M. WALTHOUR |
| Credential | PHARM.D. |
| Practice Address |
770 Balgreen Dr Suite 104 Mansfield OH 44906-4106 |
| Practice Telephone | 4195268972 |
| Practice Fax Number | 4195268974 |
| Mailing Telephone | 4195268972 |
| Mailing Fax Number | 4195268974 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03215737 | OH | Pharmacy Service Providers |
| Street Address |
770 BALGREEN DR SUITE 104 |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099615 | Christ John Ticoras | Dermatology | 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106 | 2005-08-03 |
| 1396147831 | Kristyn Livorno | Audiologist | 770 Balgreen Dr, Ste. 209, Mansfield, OH 44906-4106 | 2014-09-16 |
| 1558609990 | Third Street Community Clinic, Inc | Obstetrics & Gynecology | 770 Balgreen Dr, Mansfield, OH 44906-4106 | 2013-01-18 |
| 1093085466 | William Scott Ballinger,m.d. | Internal Medicine | 770 Balgreen Dr, Suite 203, Mansfield, OH 44906-4106 | 2012-01-03 |
| 1316225618 | Ent Central LLC | Otolaryngology | 770 Balgreen Dr, Suite 209, Mansfield, OH 44906-4106 | 2011-08-03 |
| 1023306263 | Lab One of Ohio Inc | Clinical Medical Laboratory | 770 Balgreen Dr, Mansfield, OH 44906-4106 | 2011-07-20 |
| 1093984767 | Walter G. Bodjanac, Do, LLC | Plastic Surgery | 770 Balgreen Dr, Suite 109, Mansfield, OH 44906-4106 | 2008-02-26 |
| 1679766034 | Mykola O. Prykhodko | Otolaryngology | 770 Balgreen Dr, Suite 209, Mansfield, OH 44906-4106 | 2007-08-20 |
| 1003030883 | Midwestern Cardiac Surgery, Inc. | Specialist | 770 Balgreen Dr, Suite 107, Mansfield, OH 44906-4106 | 2007-04-12 |
| 1306958723 | Cornerstone Ob-gyn, Inc | Obstetrics & Gynecology | 770 Balgreen Dr, Suite 207, Mansfield, OH 44906-4106 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013951 | Travis Tuan Tran | Pharmacist | 1826 Lake Glen Trl, Mansfield, TX 76063-4090 | 2020-11-05 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1275170649 | Thi Thi Hoang Diep | Pharmacist | 503 Marquis Ln, Mansfield, TX 76063-9123 | 2019-12-04 |
| 1598317422 | Allisa Laford I | Pharmacist | 140 N Frontage Road, Within United Services Inc. Room 171, Mansfield, CT 06250-0625 | 2019-07-11 |
| 1629531421 | Sara Rebecca Pannell | Pharmacist | 3145 East Broad Street, Mansfield, TX 76063 | 2019-04-09 |
| 1477015691 | Kelsey Brianne Hickman | Pharmacist | 770 Balgreen Dr Ste 104, Mansfield, OH 44906-4106 | 2019-04-05 |
| 1811352784 | Lisa Marie Rivera | Pharmacist | 1600 Mallard Cir, Mansfield, TX 76063-4082 | 2015-12-20 |
| 1871964304 | Lilian Nyanganyi Momanyi | Pharmacist | 4303 Crestview Ln, Mansfield, TX 76063-8623 | 2015-10-09 |
| 1588031223 | Hieu-nam Nguyen | Pharmacist | 901 E Broad St, Mansfield, TX 76063 | 2015-08-28 |
| 1356718118 | Travis Rahe | Pharmacist | 865 Lexington Ave, Mansfield, OH 44907-1945 | 2015-08-27 |
| Find all providers in MANSFIELD | ||||
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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.