JOLAN E WALTER (NPI# 1467649525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467649525 |
| Entity Type | Individual |
| Full Name | JOLAN E WALTER |
| Credential | M.D. |
| Practice Address |
601 5th St S Ach Outpatient Care Center St Petersburg FL 33701-4804 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 7278987451 |
| Mailing Telephone | 8139742201 |
| Mailing Fax Number | 8139742812 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 233737 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
ME127615 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017059500 | 05 |
| Street Address |
601 5TH ST S ACH OUTPATIENT CARE CENTER |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485890 | Gregory A Hale | Pediatrics | 601 5th St S, 3rd Floor, St Petersburg, FL 33701-4804 | 2005-05-23 |
| 1932733656 | Lauren Stark Gray | Nurse Practitioner | 601 5th St S, St Petersburg, FL 33701-4804 | 2020-03-03 |
| 1538651419 | Carrie Ann Gann | Nurse Practitioner | 601 5th St S, St Petersburg, FL 33701-4804 | 2018-06-05 |
| 1396249652 | Kelleen Boehlke | Student in an Organized Health Care Education/Training Program | 601 5th St S, St Petersburg, FL 33701-4804 | 2018-03-21 |
| 1639680614 | Lisa Jane Gillis | Medical Genetics | 601 5th St S, St Petersburg, FL 33701-4804 | 2017-10-18 |
| 1508387143 | Courtney B Hogan | Nurse Practitioner | 601 5th St S, 2nd Flr, St Petersburg, FL 33701-4804 | 2017-07-05 |
| 1962940593 | Alyssa George | Nurse Practitioner | 601 5th St S, 701, St Petersburg, FL 33701-4804 | 2017-02-02 |
| 1205379427 | Katie Leigh Mills | Nurse Practitioner | 601 5th St S, Ste 306, St Petersburg, FL 33701-4804 | 2016-11-19 |
| 1710339908 | Paul Herlan | Physician Assistant | 601 5th St S, Ste 202, St Petersburg, FL 33701-4804 | 2016-07-12 |
| 1093176190 | Samantha Rose Hunt | Nurse Practitioner | 601 5th St S, Suite 701, St Petersburg, FL 33701-4804 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1053322586 | Hary T. Katz | Pediatrics | 4123 University Blvd. S., Suite B, Jacksonville, FL 32216 | 2006-08-10 |
| 1427609080 | University of Miami | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2019-09-25 |
| 1598185480 | Camile Ortega | Pediatrics | 16371 Nw 67th Ave, Miami Lakes, FL 33014-6044 | 2014-04-18 |
| 1548607757 | David Squier Lindsay II | Pediatrics | 12901 Bruce B Downs Blvd, #3130, Tampa, FL 33612-4742 | 2013-05-29 |
| 1225393556 | Grace Toledo Padron | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2012-07-12 |
| 1598058166 | Shajitha Melethil | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2011-05-16 |
| 1538303631 | Amy Sarah Feldman | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-04-21 |
| 1134394596 | Sthorn Thatayatikom | Pediatrics | 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-0296 | 2008-04-28 |
| 1437349339 | American Medicine, Inc. | Pediatrics | 817 S University Dr, Suite 106, Plantation, FL 33324-3309 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.