PHYLLIS J WALTERS (NPI# 1134193436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134193436 |
| Entity Type | Individual |
| Full Name | PHYLLIS J WALTERS |
| Credential | MD |
| Practice Address |
155 Wilson Ave Washington PA 15301-3336 |
| Mailing Address |
Po Box 951847 Cleveland OH 44193-0020 |
| Practice Telephone | 7242257000 |
| Mailing Telephone | 8663386471 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD028020Y | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BC BS | 000000364349 | 01 |
| PA | 0010729710015 | 05 | |
| OH | 2585528 | 05 | |
| PA | RAILROAD MEDICARE | P00230604 | 01 |
| PA | RAILROAD MEDICARE | P00331221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684044 | Phyllis Annette Walters | Psychologist | 9220 Bonita Beach Rd Se Ste 222, Bonita Springs, FL 34135-4235 | 2019-11-19 |
| 1376518506 | Phyllis Kuehnl Walters | Psychologist | 28 E Rahn Rd, Suite 207, Kettering, OH 45429-5461 | 2006-02-21 |
| Street Address |
155 WILSON AVE |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656625 | Alden G Mcbee | Pathology | 155 Wilson Ave, Washington, PA 15301-3336 | 2005-06-01 |
| 1598380776 | Western Pennsylvania Surgical Specialists LLC | Surgery | 155 Wilson Ave, Washington, PA 15301-3336 | 2020-06-12 |
| 1801428073 | Washington Physician Services | Surgery | 155 Wilson Ave, Washington, PA 15301-3336 | 2020-02-06 |
| 1033680772 | Carlin Rose Gerba | Nurse Practitioner | 155 Wilson Ave, Washington, PA 15301-3336 | 2018-12-06 |
| 1013457787 | Christian Michael Schmidt | Physician Assistant | 155 Wilson Ave, Washington, PA 15301-3336 | 2017-03-01 |
| 1669914198 | Katie Heinrich | Registered Nurse | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-11-15 |
| 1629510078 | Laura Lucatorto | Nurse Anesthetist, Certified Registered | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-11-15 |
| 1831543479 | Khalil Qaderdan | Internal Medicine | 155 Wilson Ave, Washington, PA 15301-3336 | 2016-04-20 |
| 1952773806 | Scarlet Oak Emergency Physicians, LLC | Physician Assistant | 155 Wilson Ave, Washington, PA 15301-3336 | 2015-10-30 |
| 1154793719 | Amy Louise Bruckner | Registered Nurse | 155 Wilson Ave, Washington Hosp, Washington, PA 15301-3336 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318996 | Fatiha Celia Belmedani-anderson | Radiology | 2014 3rd St Ne, Washington, DC 20002-1406 | 2020-02-16 |
| 1588204614 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 3301 New Mexico Ave Nw Ste 324, Washington, DC 20016-3613 | 2020-01-07 |
| 1144677741 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 1120 20th St Nw, Washington, DC 20036-3406 | 2016-05-24 |
| 1235424763 | William J Mcmahon | Radiology | 74 Stonehenge Dr, Washington, PA 15301-3026 | 2011-06-13 |
| 1275847279 | Eastern Radiologists, Inc | Radiology | 630 E 11th St, Washington, NC 27889-3700 | 2010-08-02 |
| 1548586472 | Nimisha Mehta | Radiology | 1150 Vamum St Ne, Washington, DC 20017-2104 | 2010-04-16 |
| 1285961110 | Margaret E Mones | Radiology | 2016 14th St Se, Washington, DC 20020-4869 | 2009-11-13 |
| 1104079318 | Stanley Morton Perl | Radiology | 3116 Cathedral Ave Nw, Washington, DC 20008-3419 | 2008-10-31 |
| 1366692717 | Jennifer Eileen Nathan | Radiology | 777 7th St Nw, Apt 722, Washington, DC 20001-5707 | 2008-09-23 |
| 1831351394 | Ramin Javan | Radiology | 2425 L St Nw Apt 606, Washington, DC 20037 | 2008-06-26 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.