LISA A WALTERS (NPI# 1548227937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548227937 |
| Entity Type | Individual |
| Full Name | LISA A WALTERS |
| Credential | DO |
| Practice Address |
3051 Long Beach Rd Suite 6 Oceanside NY 11572 |
| Practice Telephone | 5167645142 |
| Practice Fax Number | 5167637420 |
| Mailing Telephone | 5167645142 |
| Mailing Fax Number | 5167637420 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 215984 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164773941 | Lisa Joy Walters | Specialist | 6 Ashford Dr, Lake Grove, NY 11755-2808 | 2012-09-20 |
| 1588805360 | Lisa Ann Walters | Counselor | 7917 Highland Park Dr, Ashland, KY 41102-9032 | 2009-03-09 |
| 1326161696 | Lisa Ann Walters | Specialist | 477 N Sawburg Ave, Alliance, OH 44601-1506 | 2007-04-09 |
| 1396204640 | Lisa Walters | Occupational Therapy Assistant | 4702 Nc Highway 48, Roanoke Rapids, NC 27870-8505 | 2019-03-17 |
| 1790274819 | Lisa Marie Walters | Counselor | 2006 Valparaiso St, Valparaiso, IN 46383-3138 | 2018-05-03 |
| 1063935484 | Lisa Jo Walters | Registered Nurse | 4815 Burning Tree Rd Ste 100, Duluth, MN 55811-3800 | 2017-07-18 |
| 1003358524 | Lisa C Walters | Physical Therapist | 99 Longwater Cir, Suite 201, Norwell, MA 02061-1642 | 2016-11-15 |
| 1245782226 | Lisa Walters | Registered Nurse | 114 Riverbank, Burlington, NJ 08016-1312 | 2016-10-26 |
| 1538499090 | Lisa Anne Walters | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2010-01-06 |
| 1396946976 | Lisa Ann Walters | Physical Therapy Assistant | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-05-30 |
| Street Address |
3051 LONG BEACH RD SUITE 6 |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566895 | Larry J Friedman | Internal Medicine | 3051 Long Beach Rd, Oceanside, NY 11572-3240 | 2005-11-22 |
| 1023677853 | Mike Holchendler | Physician Assistant | 3051 Long Beach Rd, Oceanside, NY 11572-3240 | 2019-06-05 |
| 1922322049 | Michelle Monique Vanwickler | Physician Assistant | 3051 Long Beach Rd, Oceanside, NY 11572-3240 | 2010-03-18 |
| 1861645954 | Ian M Lerner | Dentist | 3051 Long Beach Rd, Suite #3, Oceanside, NY 11572 | 2008-11-03 |
| 1982872388 | Oceanside Medical Associates PC | Internal Medicine | 3051 Long Beach Rd, Suite 6, Oceanside, NY 11572 | 2008-02-19 |
| 1003035197 | Kristin M Orrico | Physician Assistant | 3051 Long Beach Rd, Suite 6, Oceanside, NY 11572-3240 | 2007-04-25 |
| 1225171408 | Oceanside Pediatrics PC | Pediatrics | 3051 Long Beach Rd, Suite#1, Oceanside, NY 11572-3240 | 2007-02-15 |
| 1548289309 | Alan Abraham Salem | Pediatrics | 3051 Long Beach Rd, Suite#1, Oceanside, NY 11572-3240 | 2006-07-19 |
| 1487673257 | Hershel Herbert Glatt | Pediatrics | 3051 Long Beach Rd, Suite#1, Oceanside, NY 11572-3240 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265871693 | Emory Smith Winship Viii | Internal Medicine | Naval Hospital Camp Pendleton Internal Medicine Clinic, 200 Mercy Circle, Oceanside, CA 92055 | 2013-06-19 |
| 1790035673 | Robert Eli Resnick | Internal Medicine | 35 Patten Ave, Oceanside, NY 11572-1025 | 2012-09-18 |
| 1922234004 | Sanaa Saher Mithaiwala | Internal Medicine | 3091 Nassau Rd, Oceanside, NY 11572-3000 | 2009-06-03 |
| 1518100148 | Ryan Alan Smith | Internal Medicine | 3998 Vista Way Ste 200, Oceanside, CA 92056-4519 | 2009-04-13 |
| 1558500777 | Nagi Ibrahim Md Inc | Internal Medicine | 2122 S El Camino Real Ste 102, Suite B, Oceanside, CA 92054-6209 | 2009-02-11 |
| 1235314907 | Heather Lewis | Internal Medicine | 222 Cottonwood St N, Oceanside, CA 92058-6641 | 2007-12-31 |
| 1073705695 | Mes Medical Consultingpc | Internal Medicine | 97 Elaine Dr, Oceanside, NY 11572-5708 | 2007-08-16 |
| 1225126600 | Anitha Rajamanickam | Internal Medicine | 3230 Waring Ct Ste O, Oceanside, CA 92056-4509 | 2006-10-10 |
| 1437252665 | Glenn John Macdonald | Internal Medicine | 26 Davison Ave, Oceanside, NY 11572-2237 | 2006-09-06 |
| 1407871817 | Denise Gomez | Internal Medicine | 605 Crouch St Bldg C, Oceanside, CA 92054-4415 | 2006-07-13 |
| Find all providers in OCEANSIDE | ||||
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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.