DAVID WALTER (NPI# 1487868394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487868394 |
Entity Type | Individual |
Full Name | DAVID WALTER |
Credential | D.O. |
Practice Address |
1577 Congress St Portland ME 04102-2133 |
Practice Telephone | 2078292966 |
Mailing Telephone | 2078292966 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-12-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
1537 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 310050099 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598117863 | David Walter | Counselor | 25955 W 327th St, Paola, KS 66071-4920 | 2016-07-11 |
1417230079 | David Walter | Pharmacist | 54 Elliott St, Beverly, MA 01915-3359 | 2011-09-21 |
1952412066 | David M Walter | Pediatrics | 489 State Street, Emmc -, Bangor, ME 04401-0404 | 2006-08-31 |
1215981097 | David S Walter | Family Medicine | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2006-05-19 |
1730175449 | David H Walter | Psychologist | 1840 N Hacienda Blvd, Suite 2, La Puente, CA 91744-1143 | 2005-09-27 |
Street Address |
1577 CONGRESS ST |
City | PORTLAND |
State | ME |
Zip Code | 04102-2133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386602290 | Melanie Lynne Leu | Family Medicine | 1577 Congress St, Portland, ME 04102 | 2006-05-02 |
1548730567 | Peds Coverage PC | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2018-12-03 |
1013328871 | Kassi Marie Swallow | Dietitian, Registered | 1577 Congress St, Portland, ME 04102-2169 | 2014-05-15 |
1457786485 | Cassie M Green | Psychologist | 1577 Congress St, Portland, ME 04102-2169 | 2013-09-10 |
1023454089 | Samantha Dunn | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2013-05-17 |
1942544580 | Erika Lynn North | Psychologist | 1577 Congress St, Portland, ME 04102-2169 | 2012-11-20 |
1215211487 | Johanna H. Anderson | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2011-10-05 |
1497075592 | Amy E Vincent-cross | Social Worker | 1577 Congress St, Portland, ME 04102 | 2010-06-11 |
1376777136 | Catherine S Curry | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2009-05-08 |
1376736579 | Amanda S Evans Powell | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2007-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
Find all providers in zip 04102 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831455211 | Nicholas Austin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd Dept Of, Portland, OR 97239-3011 | 2012-04-10 |
1235446303 | Ervin Gene Stubbs | Psychiatry & Neurology | 7032 Sw 3rd Ave, Portland, OR 97219-2214 | 2010-09-09 |
1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
1700077328 | Hanh Ngoc Nguyen | Psychiatry & Neurology | 5410 Sw Macadam Ave Ste 200, Portland, OR 97239 | 2007-08-08 |
1912116013 | John Barrows Chenoweth | Psychiatry & Neurology | 5410 S.w. Macadam Ave, Ste 200, Portland, OR 97239-3825 | 2007-05-22 |
1043340219 | Birgit Meyer | Psychiatry & Neurology | 3415 Se Powell Blvd., Portland, OR 97202 | 2007-03-06 |
1518029768 | Barbara Jean Baker | Psychiatry & Neurology | 1818 Se Division St, Portland, OR 97202-1159 | 2006-12-14 |
1790851574 | Dena K Drasin | Psychiatry & Neurology | 6834 Se 28th Ave, Portland, OR 97202-8705 | 2006-11-25 |
1700966926 | Jonathan Joseph Valen | Psychiatry & Neurology | 506 Sw 6th Ave, Ste 602, Portland, OR 97204-1533 | 2006-10-16 |
1275628380 | Kenneth David Holladay | Psychiatry & Neurology | 9830 Ne Cascades Pkwy, Suite 200, Portland, OR 97220-6832 | 2006-10-04 |
Find all providers in PORTLAND |
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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.