DOUGLAS A WALSH JR. (NPI# 1356347520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356347520 |
| Entity Type | Individual |
| Full Name | DOUGLAS A WALSH JR. |
| Credential | D.O. |
| Practice Address |
919 53rd Ave E Bradenton FL 34203-4801 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 9417518100 |
| Practice Fax Number | 9417518127 |
| Mailing Telephone | 9417764008 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS6707 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267850100 | 05 |
| 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 |
| 1306860119 | Douglas Walsh | Dermatology | 4110 Medical Center Drive, Dermatology Associates, Fayetteville, NY 13066-2075 | 2006-07-26 |
| 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 |
| 1083610257 | Douglas A Walsh Sr. | Family Medicine | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2005-06-22 |
| Street Address |
919 53RD AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081573 | Tammy Sue Cerniglia | Nurse Practitioner | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2005-05-24 |
| 1295383768 | Mcr Health, Inc. | Clinic/Center | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2019-08-28 |
| 1487104501 | Bridgett Elaine Edwards | Nurse Practitioner | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2016-10-13 |
| 1487007100 | Mcr Health, Inc. | Clinic/Center | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2016-07-18 |
| 1629350871 | Elizabeth Ortiz-gonzalez | Internal Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2011-09-14 |
| 1164756334 | Nirmala Kishun-jit | Internal Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2009-09-21 |
| 1972523496 | Loraine F Konrady | Nurse Practitioner | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-07-20 |
| 1295769362 | Mcr Health, Inc. | Durable Medical Equipment & Medical Supplies | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-07-11 |
| 1396775219 | Mcr Health, Inc. | Internal Medicine | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-07-04 |
| 1376583682 | George Darren Malone | Pharmacist | 919 53rd Ave E, Bradenton, FL 34203-4801 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809043 | Universal Wellness Concepts | Internal Medicine | 821 12th St W, Bradenton, FL 34205-7416 | 2019-06-07 |
| 1942740170 | East County Internal Medicine Pa | Internal Medicine | 6050 State Road 70 E Unit B, Bradenton, FL 34203-9700 | 2017-03-07 |
| 1265884795 | Bps Tampa, LLC | Internal Medicine | 6311 Atrium Drive, Suite 206, Bradenton, FL 34202-4143 | 2016-07-08 |
| 1902281264 | Delta Medical Associates, LLC | Internal Medicine | 4606 62nd Ave E, Bradenton, FL 34203-6306 | 2015-07-28 |
| 1609297555 | Eldercare of Sarasota, Pllc | Internal Medicine | 807 Whooping Crane Ct, Bradenton, FL 34212-5234 | 2013-12-19 |
| 1790028348 | Florida Medical Specialists | Internal Medicine | 5601 21st Ave W Ste D, Bradenton, FL 34209-5642 | 2013-04-02 |
| 1093001745 | Regina Irene Travis | Internal Medicine | 4642 Balboa Park Loop, Bradenton, FL 34211-4960 | 2011-06-21 |
| 1205148491 | Shaan Kunwar | Internal Medicine | 6050 State Road 70 East, Suite B, Bradenton, FL 34203 | 2010-07-05 |
| 1770740540 | Bradenton Missionary Village, Inc | Internal Medicine | 1200 Aurora Blvd, Bradenton, FL 34212-9750 | 2008-05-20 |
| 1306029301 | Integrative Medical Group | Internal Medicine | 6040 53rd Ave E, Suite D, Bradenton, FL 34203-9720 | 2007-12-12 |
| Find all providers in BRADENTON | ||||
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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.