DR. WALTER ALFRED DIVERS (NPI# 1346340676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346340676 |
| Entity Type | Individual |
| Full Name | DR. WALTER ALFRED DIVERS |
| Credential | MD |
| Practice Address |
4109 John Alden Ln Lexington KY 40504-2043 |
| Practice Telephone | 8592814902 |
| Mailing Telephone | 8592814902 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
0101054852 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4109 JOHN ALDEN LN |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295918027 | Samuel Allen Pauli | Obstetrics & Gynecology | 450 Bedford St Ste 1000, Lexington, MA 02420-1520 | 2007-12-16 |
| 1497761894 | Kentucky Fertility and Andrology, Pllc | Obstetrics & Gynecology | 141 N Eagle Creek Dr, Suite 203, Lexington, KY 40509-1832 | 2006-07-31 |
| 1962459131 | Dan Tulchinsky | Obstetrics & Gynecology | 1 Forbes Rd., Reproductive Science Ctr., Lexington, MA 02421 | 2006-05-31 |
| 1255391256 | John H Derry | Obstetrics & Gynecology | One Forbes Road, Lexington, MA 02421 | 2006-03-24 |
| 1275780173 | Woman To Woman Healthcare, LLC. | Obstetrics & Gynecology | 1055 Wellington Way, Suite 125, Lexington, KY 40513-1259 | 2008-08-21 |
| 1992844179 | Mpd Medical Associates Ma PC | Obstetrics & Gynecology | One Forbes Road, Lexington, MA 02421-7305 | 2007-02-05 |
| 1730195512 | Kristen Page Wright | Obstetrics & Gynecology | 1 Forbes Rd, Lexington, MA 02421-7305 | 2006-07-31 |
| 1730123910 | Kenneth Muse Jr. | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-16 |
| 1407891450 | Emery Wilson | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-16 |
| 1508853581 | Samuel Chow-ern Pang | Obstetrics & Gynecology | 1 Forbes Rd, Lexington, MA 02421-7305 | 2005-10-04 |
| Find all providers in LEXINGTON | ||||
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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.