DR. WALTER L BENDER (NPI# 1205803921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205803921 |
| Entity Type | Individual |
| Full Name | DR. WALTER L BENDER |
| Credential | MD |
| Practice Address |
1600 N 2nd St Clinton MO 64735-1192 |
| Practice Telephone | (660) 885-5511 |
| Mailing Telephone | (660) 885-5511 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0422403 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
R9H07 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 202618005 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6530 Troost Ave, Suite A, Kansas City, MO 641311230 | 8163610670 | 8164446936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184128829 | Walter Charles Bender | Counselor | 400 E Evergreen Blvd Ste 109, Vancouver, WA 98660-3263 | 2018-03-19 |
| 1477569671 | Walter Bender | Pharmacist | 2 Catherine Ct, Long Valley, NJ 07853-3593 | 2006-07-31 |
| 1871536847 | Walter Dooley Bender | Family Medicine | 183 Enclave Dr, New Castle, PA 16105-3207 | 2006-06-14 |
| Street Address |
1600 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801747 | Karl J. Haake | Anesthesiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2005-09-19 |
| 1770110520 | Aaron Andrew Tjomsland | Physician Assistant | 1600 N 2nd St, Clinton, MO 64735-1192 | 2020-03-23 |
| 1023663770 | Nicole Rebecca Romine | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1192 | 2019-08-08 |
| 1083172415 | Daniel E Roberson | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1297 | 2019-03-05 |
| 1093284549 | Town Square Emergency Associates Pllc | Emergency Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-11-14 |
| 1235610395 | Anisa Ranay Burdick | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1297 | 2018-08-27 |
| 1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
| 1992294458 | Aimee Oerke | Dietitian, Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-05-09 |
| 1285174268 | Mary Darling | Social Worker | 1600 N 2nd St, Clinton, MO 64735-1192 | 2017-02-24 |
| 1891242715 | Michelle Shoemaker | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801391933 | Southern Maryland Nephrology and Hypertension | Internal Medicine | 9131 Piscataway Rd Ste 750, Clinton, MD 20735-2581 | 2018-03-29 |
| 1780094219 | Harshal P Shah | Internal Medicine | 8926 Woodyard Rd Ste 602, Clinton, MD 20735-4235 | 2014-05-06 |
| 1295944957 | Khosrow Davachi Md PC | Internal Medicine | 7700 Old Branch Ave Ste D203, Clinton, MD 20735-1611 | 2007-05-21 |
| 1770592446 | Arastoo Yazdani Md PC | Internal Medicine | 9135 Piscataway Road, Suite 235, Clinton, MD 20735 | 2006-08-05 |
| 1225238413 | Kidney and Hypertension Center of In, PC | Internal Medicine | 700 S Main St, Clinton, IN 47842-2420 | 2007-07-25 |
| 1770627176 | Marc Francis Brazie | Internal Medicine | 7801 Old Branch Ave, Suite 202, Clinton, MD 20735-1642 | 2007-02-18 |
| 1013059054 | Cindy Xin Huang | Internal Medicine | 10403 Hospital Dr Ste G7, Clinton, MD 20735-3138 | 2007-02-13 |
| 1487602553 | Anis U Ansari | Internal Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2006-05-04 |
| 1255389193 | Andrew David Howard | Internal Medicine | 7801 Old Branch Ave, Suite 202, Clinton, MD 20735-1608 | 2006-05-04 |
| 1508814443 | Manoj Soma Reddy | Internal Medicine | 7801 Old Branch Ave, Suite 202, Clinton, MD 20735-1608 | 2006-05-04 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on DR. WALTER L BENDER.
| 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.