MALLORY WALSH (NPI# 1497032932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497032932 |
| Entity Type | Individual |
| Full Name | MALLORY WALSH |
| Credential | PA-C |
| Practice Address |
500 Martha Jefferson Dr Charlottesville VA 22911 |
| Mailing Address |
Po Box 79777 Baltimore MD 21279-0777 |
| Practice Telephone | 4346547580 |
| Practice Fax Number | 4346547582 |
| Mailing Telephone | 4346547794 |
| Mailing Fax Number | 4346547582 |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110004076 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780151001 | Mallory Jacob Walsh | Clinic/Center | 100 Main St Apt 205, Pembroke, NH 03275-1241 | 2018-10-24 |
| 1104481449 | Mallory Joy Uekman Walsh | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2019-05-02 |
| Street Address |
500 MARTHA JEFFERSON DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248663 | Martha Jefferson Hospital | General Acute Care Hospital | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2005-07-11 |
| 1316548175 | Tiffany Kristen White | Pharmacist | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2020-11-06 |
| 1174094114 | Deveryn Bailey | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-12-17 |
| 1013496116 | Jennifer Graham Stancil | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-08-09 |
| 1609374313 | Stephanie Rowe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-01-28 |
| 1629585450 | Jennifer L Raymond | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2018-01-02 |
| 1033634845 | Melissa Volpe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2017-08-14 |
| 1376068973 | Laura R Trissel | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-08-04 |
| 1497277396 | Gina Gilmore | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-07-12 |
| 1013437854 | Alison Burkholder Heavenridge | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1912562406 | Danielle Shell | Physician Assistant | 1254 Clover Ridge Pl, Charlottesville, VA 22901-9213 | 2019-05-09 |
| 1265953699 | Gina J Carroll | Physician Assistant | 2625 Cedar Ridge Ln, Charlottesville, VA 22901-9414 | 2017-07-06 |
| 1134585961 | Natalie Smith | Physician Assistant | 183 Spotnap Rd Ste C, Charlottesville, VA 22911-8812 | 2016-01-08 |
| 1093185167 | Emily Harriet Gilbert | Physician Assistant | 100 1st St N Apt 202, Charlottesville, VA 22902-5251 | 2015-10-01 |
| 1679815930 | Lindsay R Caine-conley | Physician Assistant | 103 S Pantops Dr Ste 102, Charlottesville, VA 22911-8617 | 2013-03-25 |
| 1376829184 | Traci L. Mahoney | Physician Assistant | 545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 | 2011-10-25 |
| 1699951152 | Michelle Louise Post | Physician Assistant | 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-7851 | 2008-01-15 |
| 1932223674 | Alden R. Kent | Physician Assistant | 1st Lee St, Charlottesville, VA 22908-0001 | 2007-03-19 |
| 1124142229 | Jennifer A. Hart | Physician Assistant | 1000 Massie Rd, Charlottesville, VA 22903 | 2007-03-16 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
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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.