JOHN WALTER (NPI# 1285098384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285098384 |
| Entity Type | Individual |
| Full Name | JOHN WALTER |
| Credential | M.D. |
| Practice Address |
975 S Fairmont Ave Lodi CA 95240-5118 |
| Mailing Address |
2315 Stockton Blvd Sacramento CA 95817-2201 |
| Practice Telephone | 2093343411 |
| Mailing Telephone | 9167347950 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 155925 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2315 Stockton Blvd, Sacramento, CA 958172201 | 9167347950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699096909 | John Walter | Chiropractor | 301 Gibson Dr, # 1821, Roseville, CA 95678-5400 | 2010-06-21 |
| 1669526794 | John Charles Walter | Dentist | 1131 Medical Pl, Seymour, IN 47274-2639 | 2007-01-23 |
| 1134205305 | John Louis Walter | Social Worker | 1620 W Thome St, Chicago, IL 60660 | 2006-10-31 |
| 1255327730 | John Harold Walter Jr. | Podiatrist | 8 & Race St, Feet & Ankle Institute, Philadelphia, PA 19106 | 2005-09-21 |
| 1811471634 | John Walter | Pharmacist | 900 W Valley Rd, Torrington, WY 82240-3232 | 2018-09-18 |
| 1588946297 | John Walter | Pharmacist | 1205 Main St, Murray, KY 42071-1820 | 2011-09-20 |
| 1629197215 | John Martin Walter | Social Worker | 1301 Clay St, 270s, Oakland, CA 94612 | 2007-03-28 |
| 1386782100 | John R Walter | Emergency Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-02-02 |
| 1598837940 | John M Walter | Specialist/Technologist | 3616 N Main St, Rockford, IL 61103-2159 | 2006-11-14 |
| 1619077633 | John Paul Walter | Kinesiotherapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-09-22 |
| Street Address |
975 S FAIRMONT AVE |
| City | LODI |
| State | CA |
| Zip Code | 95240-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938301 | Lodi Memorial Hospital Association Inc | General Acute Care Hospital | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2005-10-31 |
| 1174148662 | Minh Duc Phan | Pharmacist | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2020-06-10 |
| 1710500848 | Sara Ghohestani-bojd | Physician Assistant | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2020-05-23 |
| 1245864297 | Kristin Jean Gedda | Physician Assistant | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2020-02-28 |
| 1124663539 | Ryan Hortum | Occupational Therapist | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2019-11-08 |
| 1023673167 | Diagnostic Pathology Medical Group Inc | Pathology | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2019-05-03 |
| 1295390672 | Armeghan Bagherpour | Physician Assistant | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2019-05-01 |
| 1730643768 | Hannah Esther Keller | Physician Assistant | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2019-01-23 |
| 1699242065 | Elizabeth Emily Bennett | Registered Nurse | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2018-10-24 |
| 1669970778 | Jason Rogers | Physician Assistant | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326472986 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 184 Essex St, Space F1, Lodi, NJ 07644-2707 | 2013-08-30 |
| 1881607455 | Anniemarie Muna Santos | Emergency Medicine | 832 S Fairmont Ave, Lodi, CA 95240-5117 | 2006-08-14 |
| 1144232349 | Mani Mahdyoon | Emergency Medicine | 845 S Fairmont Ave Ste 5, Lodi, CA 95240-5113 | 2006-08-13 |
| 1780606921 | Renee Snelling Gilpen | Emergency Medicine | 975 S Fairmont Avenue, Lodi, CA 95240-5118 | 2006-07-24 |
| 1629337449 | Jatinder Kajla | Emergency Medicine | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2012-05-14 |
| 1437424553 | Epmg Ohio State Inc, Pa | Emergency Medicine | 225 Elyria St, Lodi, OH 44254-1031 | 2012-03-22 |
| 1447576244 | Poppi Elisa Rodriguez-webb | Emergency Medicine | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2010-04-19 |
| 1134290851 | Lodi Delta Emergency Physicians | Emergency Medicine | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-11-13 |
| 1336257013 | Carter N Killion | Emergency Medicine | 225 Elyria St, Lodi, OH 44254-1031 | 2006-08-25 |
| 1679681373 | Mary Ellen Hancock | Emergency Medicine | 225 Elyria St, Lodi, OH 44254-1031 | 2006-08-25 |
| Find all providers in LODI | ||||
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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.