DR. DOUGLAS WALSH (NPI# 1306860119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306860119 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS WALSH |
| Credential | MD |
| Practice Address |
4110 Medical Center Drive Dermatology Associates Fayetteville NY 13066-2075 |
| Mailing Address |
6154 Springdale Cir Syracuse NY 13224-2075 |
| Practice Telephone | 7062676239 |
| Mailing Telephone | 7062676239 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D0041304 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598297749 | Douglas Charles Walsh Jr. | Home Health Aide | 42 Fairy Dr, Hamilton, OH 45013-4412 | 2017-03-28 |
| 1982819447 | Douglas M Walsh | Pediatrics | 1400 E Missouri Ave, Suite C-200, Phoenix, AZ 85014 | 2007-05-10 |
| 1194728931 | Douglas Paul Walsh | Dentist | 9801 17th Ave Sw, Seattle, WA 98106-2759 | 2005-05-24 |
| 1730424680 | Douglas Terry Walsh | Physical Therapy Assistant | 3850 S Meridian, Puyallup, WA 98373-3701 | 2012-12-04 |
| 1891829107 | Douglas Richard Walsh | Physician Assistant | 1360 S Potomac St, Aurora, CO 80012-4505 | 2007-03-16 |
| 1750356929 | Douglas Christopher Walsh | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2006-02-21 |
| 1356347520 | Douglas A Walsh Jr. | Internal Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2005-06-22 |
| 1083610257 | Douglas A Walsh Sr. | Family Medicine | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2005-06-22 |
| Street Address |
4110 MEDICAL CENTER DRIVE DERMATOLOGY ASSOCIATES |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306061031 | Northhills Dermatology | Dermatology | 3256 N Northhills Blvd, Fayetteville, AR 72703 | 2007-04-16 |
| 1679695233 | Coressence Inc | Dermatology | 103 Hay St, Fayetteville, NC 28301-5649 | 2007-04-04 |
| 1629158142 | Manfred S Rothstein | Dermatology | 1308 Medical Dr, Fayetteville, NC 28304 | 2006-10-17 |
| 1447350640 | Alvin Harold Clair | Dermatology | 874 W. Lanier Ave, Suite 270, Fayetteville, GA 30214-7617 | 2006-09-25 |
| 1679682520 | Lance B. Henry | Dermatology | 1444 E Stearns St, Suite 11, Fayetteville, AR 72703-6243 | 2006-08-30 |
| 1962519462 | Ravenhill Dermatology Medical Clinic, P.C. | Dermatology | 110 Barcelona Dr, Fayetteville, NC 28303-4453 | 2006-08-23 |
| 1285664623 | Carla T Lee | Dermatology | 4120 Thornton Taylor Pkwy Ste F, Fayetteville, TN 37334-2292 | 2006-07-03 |
| 1396784443 | Robert D Brown | Dermatology | 4375 N. Vantage Drive, Suite 305, Fayetteville, AR 72703 | 2006-06-05 |
| 1932154606 | Wendell Weller Weed | Dermatology | 3256 N North Hills Blvd, Fayetteville, AR 72703 | 2006-05-23 |
| 1255321782 | Denise Ladd | Dermatology | 2300 Ramsey Street, Va Medical Center, Fayetteville, NC 28301 | 2005-10-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
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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.