DR. MATTHEW P WALTERS (NPI# 1497835862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497835862 |
Entity Type | Individual |
Full Name | DR. MATTHEW P WALTERS |
Credential | MD |
Practice Address |
2845 Greenbrier Road Green Bay WI 54311 |
Practice Telephone | 9202884746 |
Practice Fax Number | 9202884737 |
Mailing Telephone | 9202884746 |
Mailing Fax Number | 9202884737 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2011-12-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
51649-20 | WI | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
53509 | MN | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
104878 | MN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | ENROLLED | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063888923 | Matthew Thomas Walters | Chiropractor | 3951 W Parmer Ln Ste 300, Austin, TX 78727-4126 | 2015-08-14 |
1366923922 | Matthew Walters | Counselor | 3207 N Front St, Harrisburg, PA 17110-1311 | 2018-08-22 |
1124568456 | Matthew Walters | Social Worker | 1000 S 13th St, Lincoln, NE 68508-3533 | 2017-03-06 |
1639555824 | Matthew Walters | Nurse Practitioner | 1650 4th St Se, Rochester, MN 55904-4717 | 2015-08-11 |
1417344334 | Matthew Walters | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2015-04-17 |
1710397682 | Matthew Alan Walters | Social Worker | 31171 23 Mile Rd, Chesterfield, MI 48047-1849 | 2014-05-01 |
1871888255 | Matthew Carl Walters | Pharmacist | 4727 Highway 90, Pace, FL 32571-1403 | 2011-06-14 |
1124335245 | Matthew Walters | Physical Therapist | 5460 Babcock Rd, Suite 100, San Antonio, TX 78240-3901 | 2010-09-10 |
1790884781 | Matthew B. Walters | Physical Therapist | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2006-09-22 |
1215040514 | Matthew James Walters | Dentist | 2137 Welsh Road, Ste 3a, Philadelphia, PA 19115 | 2006-08-17 |
Street Address |
2845 GREENBRIER ROAD |
City | GREEN BAY |
State | WI |
Zip Code | 54311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053346205 | Matthew L Snyder | Pathology | 2845 Greenbrier Road, Green Bay, WI 54311 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
Find all providers in zip 54311 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922231414 | Darrell Peter Skarphol | Pathology | 2480 Edgewood Ct, Green Bay, WI 54302-4813 | 2009-08-31 |
1053346205 | Matthew L Snyder | Pathology | 2845 Greenbrier Road, Green Bay, WI 54311 | 2006-07-12 |
1124262480 | Oliver Graf | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2009-04-29 |
1487670360 | Paul R Holzman | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-14 |
1225054992 | Robert Joseph Murphy | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-14 |
1942235353 | Timothy L Chamberlain | Pathology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-07-12 |
1821021239 | Robert Thomas Cutlan | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-09 |
1255370789 | Thomas S Fredeen | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
1407896962 | Denise A Kennedy | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
1649210105 | John G Brady | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
Find all providers in GREEN BAY |
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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.