DR. STEPHEN GLENN WALTCHER


Address: 140 Dubois St, Suite A, Santa Cruz, CA 95060-2175
Phone: 8314570420

DR. STEPHEN GLENN WALTCHER (NPI# 1134422991) 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) 1134422991
Entity Type Individual
Full Name DR. STEPHEN GLENN WALTCHER
Credential M.D.
Practice Address 140 Dubois St
Suite A
Santa Cruz
CA 95060-2175
Mailing Address Po Box 62
Felton
CA 95018-0062
Practice Telephone 8314570420
Enumeration Date 2010-12-15
Last Update Date 2010-12-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208D00000X General Practice 287532-1205 UT Allopathic & Osteopathic Physicians
Y 208D00000X General Practice G88413 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 140 DUBOIS ST
SUITE A
City SANTA CRUZ
State CA
Zip Code 95060-2175

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164947610 Jessica Kliger General Practice 1457 High St, Santa Cruz, CA 95060-2319 2017-08-06
1841653037 Robert Thomas Scott General Practice 416 Lighthouse Ave, Santa Cruz, CA 95060-6130 2016-04-04
1487901591 Rima Fay Lieben General Practice 310 San Juan Ave, Santa Cruz, CA 95062-1244 2012-08-08
1114156577 William Martin Sperling General Practice 585 Mountain View Rd, Santa Cruz, CA 95065-9711 2009-07-07
1164607149 Jennifer Lynn Kelly General Practice 2018 Mission Street, Santa Cruz, CA 95060 2008-01-08
1447243365 Ida G Leong General Practice 820 Capitola Rd, Suite A, Santa Cruz, CA 95062-2891 2005-08-25
1437549060 Karin N. Yien General Practice 615 Ocean St, Santa Cruz, CA 95060-4005 2015-02-03
1417293267 River Street Integrative Medicine, Inc. General Practice 700 River St, Santa Cruz, CA 95060-2748 2012-12-26
1194072181 Lester Russ Reichek General Practice 310 San Juan Ave, Santa Cruz, CA 95062-1244 2012-08-08
1073736146 Helen Nunberg General Practice 877 Cedar St, Suite 150, Santa Cruz, CA 95060-3938 2007-04-10
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Competitor

Search similar providers

City SANTA CRUZ
Zip Code 95060

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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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