DR. WALTER H SHORT (NPI# 1255398491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255398491 |
| Entity Type | Individual |
| Full Name | DR. WALTER H SHORT |
| Credential | M.D. |
| Practice Address |
5719 Widewaters Pkwy De Witt NY 13214-1880 |
| Mailing Address |
5719 Widewaters Pkwy Syracuse NY 13214-1880 |
| Practice Telephone | 3152513100 |
| Practice Fax Number | 3154499923 |
| Mailing Telephone | 3152513100 |
| Mailing Fax Number | 3154499923 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 130785 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
130785 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649295833 | Walter M Short | Emergency Medicine | 111 S Main St, Leachville, AR 72438-9097 | 2006-07-12 |
| Street Address |
5719 WIDEWATERS PKWY |
| City | DE WITT |
| State | NY |
| Zip Code | 13214-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700170545 | Fitness Forum Physical and Occupational Therapy, Pllc | Physical Therapist | 5719 Widewaters Pkwy, De Witt, NY 13214-1985 | 2011-06-08 |
| 1326339599 | Jill A Spinoso | Physical Therapist | 5719 Widewaters Pkwy, De Witt, NY 13214-1985 | 2011-04-22 |
| 1437107067 | Kristin K Parmeter | Nurse Practitioner | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-05 |
| 1992763239 | Janice A Sharkey | Nurse Practitioner | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-03 |
| 1851359343 | Donna M Widrick | Nurse Practitioner | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-03 |
| 1316904543 | Stephen C Robinson | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-05-01 |
| 1396702023 | Warren E Wulff | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-27 |
| 1518924224 | I. Michael Vella | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-27 |
| 1144287749 | P James Newman | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-27 |
| 1285691139 | John F Parker | Orthopaedic Surgery | 5719 Widewaters Pkwy, De Witt, NY 13214-1880 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538909 | Michelle Gerwin Carlson, M.d., P.C. | Orthopaedic Surgery | 523 E 72nd St Rm 4-408, New York, NY 10021-4099 | 2020-05-01 |
| 1285289918 | David Cinats | Orthopaedic Surgery | 6620 Fly Rd Ste 100, East Syracuse, NY 13057-9791 | 2019-08-08 |
| 1184282139 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 788 Harrison Ave, Riverhead, NY 11901-2744 | 2019-06-04 |
| 1215426390 | Kristen Alexander | Orthopaedic Surgery | 525 E 71st St Ofc 2, New York, NY 10021-4839 | 2018-05-04 |
| 1013437078 | Ari Mayerfield, M.d.f.a.c.s, Pllc | Orthopaedic Surgery | 1978 Crompond Rd Ste 102, Cortlandt Manor, NY 10567-4114 | 2017-06-21 |
| 1255787743 | Highline Orthopaedics | Orthopaedic Surgery | 16 Park Place, New York, NY 10007 | 2016-05-13 |
| 1639587504 | New York Hand Surgery P.C. | Orthopaedic Surgery | 330 9th St Apt 1, Brooklyn, NY 11215-4026 | 2014-07-23 |
| 1821387085 | Steven Michael Koehler | Orthopaedic Surgery | 450 Clarkson Ave # Msc30, Brooklyn, NY 11203-2012 | 2011-03-28 |
| 1295969046 | Andrew Joseph Leo | Orthopaedic Surgery | 517 Route 111, 3rd Fl Ste 3b, Hauppauge, NY 11788 | 2009-05-08 |
| 1063615763 | Farouq Al-khalidi | Orthopaedic Surgery | 4500 Vestal Rd, Vestal, NY 13850-3535 | 2007-06-08 |
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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.