MARY KATHERINE WALTON (NPI# 1235349580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235349580 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE WALTON |
| Other Name | MARY KATHERINE SANDEL |
| Credential | M.D. |
| Practice Address |
820 Jordan St Ste 201 Shreveport LA 71101-4518 |
| Practice Telephone | 3182210399 |
| Practice Fax Number | 3182211940 |
| Mailing Telephone | 3182210399 |
| Mailing Fax Number | 3182211940 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
202525 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1078859 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253443 | Mary Jean Walton | Marriage & Family Therapist | 400 Llewellyn Ave, Campbell, CA 95008-1967 | 2020-04-08 |
| 1548760606 | Mary Walton | Nurse Practitioner | 1578 Colorado Blvd Ste B, Los Angeles, CA 90041-1451 | 2018-02-15 |
| 1629034723 | Mary Burgess Walton | Nurse Practitioner | 2020 16th St, Greeley, CO 80631-5158 | 2006-04-26 |
| 1811512668 | Mary Jane Walton | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2020-06-08 |
| 1225679954 | Mary Walton | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2019-10-03 |
| 1336665959 | Mary Elizabeth Walton | Dietitian, Registered | 4011 Talbot Rd S, Renton, WA 98055-5773 | 2017-08-15 |
| 1336689033 | Mary A Walton | Case Manager/Care Coordinator | 551 N 28th West Ave, Tulsa, OK 74127-6139 | 2017-02-28 |
| 1518144203 | Mary R Walton | Physician Assistant | 33 College Hill Road, 29c, Warwick, RI 02886 | 2008-01-25 |
| 1033287438 | Mary Elizabeth Walton | Registered Nurse | 1425 Beavercreek Rd, Oregon City, OR 97045-4076 | 2006-12-01 |
| 1548356587 | Mary Denise Walton | Marriage & Family Therapist | 17822 Beach Blvd Ste 278, Huntington Beach, CA 92647-7180 | 2006-10-05 |
| Street Address |
820 JORDAN ST STE 201 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295379576 | Emily Bergeron | Physician Assistant | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2019-10-30 |
| 1821499823 | Seth Hendrix | Physician Assistant | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2014-09-09 |
| 1386078095 | Kathleen Anthony | Physician Assistant | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1962794404 | Louisiana Arthritis and Rheumatology,llc | Internal Medicine | 457 Ashley Ridge Blvd Ste C, Shreveport, LA 71106-7229 | 2011-05-03 |
| 1013132653 | Kyla Lokitz | Internal Medicine | 8508 Line Ave Ste C, Shreveport, LA 71106-6131 | 2007-04-17 |
| 1477639565 | Susan Vanhook Williams | Internal Medicine | 437 Dunmoreland Cir, Shreveport, Shreveport, LA 71106-6101 | 2006-10-31 |
| 1396197216 | Rina Musa | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2016-07-02 |
| 1629429733 | Ahmad Qurie | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2016-06-29 |
| 1255719696 | Harman Fervaha | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2015-05-18 |
| 1023300910 | Haidy Ibrahim Gohar Galous | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-05-10 |
| 1902110109 | Mamatha Katikaneni | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2010-07-29 |
| 1851554786 | Aaron Wilton Broadwell | Internal Medicine | 820 Jordan St, Suite 201, Shreveport, LA 71101-4518 | 2008-07-10 |
| 1205012291 | Thomas A Pressly IIi Apmc | Internal Medicine | 2751 Albert L Bicknell Dr, Suite 2e, Shreveport, LA 71103-3920 | 2008-01-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MARY KATHERINE WALTON.
| 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.