SHAUNA T WALTERS


Address: 3444 Kossuth Ave, Bronx, NY 10467
Phone: 7189202273

SHAUNA T WALTERS (NPI# 1518226513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518226513
Entity Type Individual
Full Name SHAUNA T WALTERS
Credential MD
Practice Address 3444 Kossuth Ave
Bronx
NY 10467
Mailing Address 3444 Kossuth Ave
Bronx
NY 10467-2410
Practice Telephone 7189202273
Mailing Telephone 7189202273
Enumeration Date 2012-05-10
Last Update Date 2019-07-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 281628-1 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3444 Kossuth Ave, Bronx, NY 10467 7189202273

Office Location

Street Address 3444 KOSSUTH AVE
City BRONX
State NY
Zip Code 10467

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386639011 Benjamin Weintraub Pediatrics 3444 Kossuth Ave, Montefiore Medical Group/ Family Care Center, Bronx, NY 10467-2410 2005-09-19
1356981112 Ariella Lipetz Occupational Therapist 3444 Kossuth Ave, Bronx, NY 10467-2410 2020-01-09
1093358749 Rebecca Mary Holzhauer Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2019-10-25
1578127916 Francis William Bongiovanni Nurse Practitioner 3444 Kossuth Ave, Bronx, NY 10467-2410 2019-04-30
1649748419 Gail Saderholm Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2018-11-09
1811498116 Alexis Endora Martin Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2018-02-22
1619415999 Pamela Icochea Calenzani Health Educator 3444 Kossuth Ave, Bronx, NY 10467-2410 2017-02-07
1427502988 Anne E Fuller Pediatrics 3444 Kossuth Ave, Bronx, NY 10467-2410 2016-08-12
1831557339 Olga Santiago Social Worker 3444 Kossuth Ave, Bronx, NY 10467-2410 2016-01-29
1386024370 Staceyann Smith Pediatrics 3444 Kossuth Ave, Bronx, NY 10467-2410 2015-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811473721 Okyeniba Medical PC Pediatrics 58 East Kingsbridge Road, Bronx, NY 10468 2018-07-13
1083008932 Claudia Suarez-makotsi Pediatrics 2300 Westchester Ave Ste 302, Bronx, NY 10462 2015-03-27
1588058846 Aisha Angela Bobb-semple Pediatrics 1650 Grand Concourse Fl 3, Bronx, NY 10457-7606 2015-03-25
1972996809 Rebecca Ariella Berger Pediatrics 2100 Bartow Ave Rm 311, Bronx, NY 10475-4614 2015-03-17
1962807446 Hoda Karbalivand Pediatrics 1400 Pelham Pkwy S # 6-b25, Bronx, NY 10461-1197 2014-10-27
1871997924 Ganguly Associates Md PC Pediatrics 140 Benchley Pl Frnt 1, Bronx, NY 10475-3502 2014-10-17
1871994228 Elmer Arteaga Medical PC Pediatrics 3201 Grand Concourse Apt 2m, Bronx, NY 10468-1226 2014-09-04
1154734598 Nora Barmawi Pediatrics 4487 3rd Ave Fl 2, Bronx, NY 10457-1526 2014-06-03
1740539931 Nataliya Krivitskaya Pediatrics 627 Lydig Ave, 1 Fl, Bronx, NY 10462-2283 2012-09-03
1770847600 Merna Gordon Pediatrics 770 Grote Street, Bronx, NY 10460 2012-06-26
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Competitor

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City BRONX
Zip Code 10467

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Dataset Information

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.

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