DR. MICHAEL A. WALDER (NPI# 1255366340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255366340 |
Entity Type | Individual |
Full Name | DR. MICHAEL A. WALDER |
Credential | DO |
Practice Address |
Jefferson University Hospitals 2201 Chapel Ave Cherry Hill NJ 08002 |
Mailing Address |
240 Sharrowvale Rd Cherry Hill NJ 08034-2714 |
Practice Telephone | 8563477716 |
Practice Fax Number | 8565460666 |
Mailing Telephone | 8562871788 |
Mailing Fax Number | 8565460666 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2020-07-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207U00000X | Nuclear Medicine | MB021042 | NJ | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MB021042 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 1120701 | 05 |
Street Address |
JEFFERSON UNIVERSITY HOSPITALS 2201 CHAPEL AVE |
City | CHERRY HILL |
State | NJ |
Zip Code | 08002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
Find all providers in zip 08002 |
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 |
---|---|---|---|---|
1023484896 | Subspecialty Radiology Inc | Radiology | 18 Galloping Hill Rd, Cherry Hill, NJ 08003-5150 | 2015-08-17 |
1205140373 | Benjamin Karlberg | Radiology | 2103 Bishops View Cir, Cherry Hill, NJ 08002-3443 | 2010-08-02 |
1427221241 | Rose Anne Metzger | Radiology | 24 Partridge Ln, Cherry Hill, NJ 08003-1947 | 2008-04-13 |
1841468923 | Sherman Martin Bannett | Radiology | 1815 E Fireside Ct, Cherry Hill, NJ 08003-3243 | 2008-02-12 |
1760693436 | Eugene Cohen | Radiology | 836 Kings Croft, Cherry Hill, NJ 08034-1111 | 2007-05-24 |
1396830865 | Theodore Mckinley Johnston Jr. | Radiology | 112 Pearlcroft Rd., Cherry Hill, NJ 08034-3334 | 2006-10-03 |
1083710602 | Springdale Radiology, LLC | Radiology | 2051 Springdale Rd, Cherry Hill, NJ 08003-1603 | 2006-09-15 |
1801835137 | Carol Ellen Kaplan | Radiology | 1009 Swallow Dr, Cherry Hill, NJ 08003-2805 | 2006-06-05 |
1578536942 | Advanced Radiology of Cherry Hill Pa | Radiology | 13 W Ormond Avenue, Cherry Hill, NJ 08002 | 2006-02-08 |
1801898291 | Gary P. Romisher | Radiology | 511 Gatewood Rd, Cherry Hill, NJ 08003-3231 | 2005-08-15 |
Find all providers in CHERRY HILL |
City | CHERRY HILL |
Zip Code | 08002 |
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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.