DR. MARIETTA ELIZABETH WALSH (NPI# 1275809584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275809584 |
| Entity Type | Individual |
| Full Name | DR. MARIETTA ELIZABETH WALSH |
| Credential | D.O. |
| Practice Address |
2710 Saint Francis Dr Suite 110 Waterloo IA 50702-5619 |
| Practice Telephone | 3192725000 |
| Practice Fax Number | 3192726775 |
| Mailing Telephone | 3192725000 |
| Mailing Fax Number | 3192726775 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 125.057859 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2710 SAINT FRANCIS DR SUITE 110 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166390 | Lisa M Coleman | Dietitian, Registered | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2005-09-28 |
| 1003303165 | Summer Morgan Lenth | Nurse Practitioner | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2018-04-15 |
| 1033621586 | Hilary Pates | Counselor | 2710 Saint Francis Dr, Waterloo, IA 50702-5619 | 2017-10-24 |
| 1447676812 | Katherine Renner | Pharmacist | 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702-5619 | 2014-03-10 |
| 1649611567 | Toni Lynn Luck | Nurse Practitioner | 2710 Saint Francis Dr, Suite 319, Waterloo, IA 50702-5619 | 2013-07-08 |
| 1902174584 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 2710 Saint Francis Dr, #411, Waterloo, IA 50702-5619 | 2011-12-09 |
| 1851671192 | Melissa Ann Groeneveld | Nurse Practitioner | 2710 Saint Francis Dr, Suite 419, Waterloo, IA 50702-5619 | 2011-08-18 |
| 1336428697 | Victor Adam Abrich | Internal Medicine | 2710 Saint Francis Dr, Ste 320, Waterloo, IA 50702-5620 | 2011-08-04 |
| 1821301649 | Kristin Marie Davis | Nurse Practitioner | 2710 Saint Francis Dr, Ste 111, Waterloo, IA 50702-5619 | 2010-07-21 |
| 1407180094 | Tulsi Sharma | Student in an Organized Health Care Education/Training Program | 2710 Saint Francis Dr, Ste 510, Waterloo, IA 50702-5619 | 2009-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962572339 | Hosung Chung | Neurological Surgery | 1762 Caras Rd, Waterloo, IA 50701-9793 | 2006-11-09 |
| 1831129634 | Gregory Bedynek | Neurological Surgery | 2710 Saint Francis Dr Ste 110, Waterloo, IA 50702-5664 | 2006-07-04 |
| 1518908896 | Russell I. Buchanan | Neurological Surgery | 2413 W Ridgeway Ave, Waterloo, IA 50701-4306 | 2006-06-09 |
| 1619239142 | Nikolay Martirosyan | Neurological Surgery | 146 W Dale St Ste 201, Waterloo, IA 50703-1901 | 2012-06-11 |
| 1720310774 | Heartland Neurosurgical Services Pllc | Neurological Surgery | 227 E San Marnan Dr, Waterloo, IA 50702-5829 | 2010-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049490 | Md West One, PC | Neurological Surgery | 808 E Pierce St, Council Bluffs, IA 51503-4600 | 2020-07-02 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1528374204 | Eugene Collins Mdpc | Neurological Surgery | 1333 West Lombard, Davenport, IA 52804-2194 | 2010-08-19 |
| 1710291505 | David H. Segal Md Eastern Iowa Brain & Spine Surgery Pllc | Neurological Surgery | 600 7th Street Se, Second Floor, Cedar Rapids, IA 52401-2112 | 2010-08-04 |
| 1972668952 | Midwest Brain and Spine LLC | Neurological Surgery | 3385 Dexter Court, Suite 110, Davenport, IA 52807-3461 | 2006-12-27 |
| 1619984903 | David Harvey Segal | Neurological Surgery | 600 7th St Se Fl 2, Cedar Rapids, IA 52401-2112 | 2006-08-01 |
| 1285697003 | Eugene Collins | Neurological Surgery | 1333 West Lombard Street, Davenport, IA 52804-2193 | 2006-04-11 |
| 1275502726 | Nicholas M Wetjen | Neurological Surgery | 1215 Pleasant St Ste 608, Des Moines, IA 50309-1418 | 2006-03-16 |
| 1750357737 | Jeannette Mae Liu | Neurological Surgery | 1026 A Ave Ne Ste 5000, Cedar Rapids, IA 52402-5036 | 2006-02-28 |
| 1740284421 | Chad Abernathey | Neurological Surgery | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-06-09 |
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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.