DR. KEVIN J WALSH (NPI# 1609845734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609845734 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J WALSH |
| Credential | M.D. |
| Practice Address |
5169 Cottonwood St Bldg. B, Suite 520 Murray UT 84107-6767 |
| Practice Telephone | 8015073500 |
| Practice Fax Number | 8015073550 |
| Mailing Telephone | 8015073500 |
| Mailing Fax Number | 8015073550 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
166974-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 60015235 | 01 | |
| NV | 002084183 | 05 | |
| UT | O3848 | 05 | |
| WY | 101576100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356419345 | Kevin Michael Walsh | Social Worker | 41-51 East 11th Street, 4th Floor, New York, NY 10003 | 2006-11-30 |
| 1346336302 | Kevin Patrick Walsh | Counselor | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-10-05 |
| 1649214438 | Kevin Walsh | Physician Assistant | Saint Barnabas Medical Center, Old Short Hills Road, Livingston, NJ 07039 | 2006-06-15 |
| 1922561075 | Kevin Cunningham Walsh | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-04-06 |
| 1679035414 | Kevin Patrick Walsh | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-02 |
| 1326508656 | Kevin William Walsh | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2019-03-22 |
| 1750773339 | Kevin Walsh | Registered Nurse | 625 W Washington Ave, Madison, WI 53703-2637 | 2015-02-19 |
| 1285058883 | Kevin Walsh | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2014-02-18 |
| 1982042073 | Kevin Michael Walsh | Nurse Practitioner | 11100 Euclid Ave, Lt 9001, Cleveland, OH 44106-1716 | 2013-06-11 |
| 1508200429 | Kevin Martin Walsh | Pediatrics | 747 52nd St, Room 245, Oakland, CA 94609-1809 | 2013-04-22 |
| Street Address |
5169 COTTONWOOD ST BLDG. B, SUITE 520 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554141 | Tawnya Bowles | Surgery | 5169 Cottonwood St, Suite 440, Murray, UT 84107-6767 | 2005-11-10 |
| 1528323508 | Lindsey Marie Andersen | Nurse Practitioner | 5169 Cottonwood St, Suite 510, Murray, UT 84107-6767 | 2012-07-06 |
| 1407121809 | Sarah Christensen | Physician Assistant | 5169 Cottonwood St, Suite 320, Eccles Outpatient Center, Murray, UT 84107-6767 | 2012-03-19 |
| 1669773461 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 510, Murray, UT 84107-6767 | 2010-11-10 |
| 1154639276 | Kristi Reinschmidt | Physician Assistant | 5169 Cottonwood St, Suite 320, Murray, UT 84107-6767 | 2010-09-23 |
| 1982833398 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 520, Murray, UT 84107-5701 | 2009-07-07 |
| 1629230958 | Mountain West Cardiovascular Associates | Specialist | 5169 Cottonwood St, Suite B620, Murray, UT 84158 | 2008-06-27 |
| 1740478445 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, #640, Murray, UT 84107-6767 | 2007-10-09 |
| 1851587133 | Travis Mark Remington | Physician Assistant | 5169 Cottonwood St, Suite# 410, Murray, UT 84107-6767 | 2007-09-19 |
| 1366640153 | Robert Edward Hugh Ferguson Jr. | Plastic Surgery | 5169 Cottonwood St, Suite 410, Murray, UT 84107-6767 | 2007-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1326226671 | Deborah Budge | Internal Medicine | 5121 So. Cottonwood Drive, J.l. Sorenson Heart & Lung Center, Lower Level One, Murray, UT 84107-5701 | 2008-02-07 |
| 1811093453 | Utah Heart Clinic. Lc | Internal Medicine | 5169 S Cottonwood, Building B Suite 510, Murray, UT 84107-5701 | 2006-09-14 |
| 1548280464 | Yunus Ali Moosa | Internal Medicine | 300 S 8th St Ste 182w, Murray, KY 42071-2444 | 2006-07-21 |
| 1902843931 | James Langley Orford | Internal Medicine | 5169 S Cottonwood St Ste 520, Murray, UT 84107-6756 | 2006-05-31 |
| 1942208517 | Ralph D Millsaps | Internal Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2005-07-08 |
| 1376971663 | Ihc Health Services Inc | Internal Medicine | 5169 S Cottonwood St, Ste 600, Murray, UT 84107-6771 | 2013-10-23 |
| 1669773461 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 510, Murray, UT 84107-6767 | 2010-11-10 |
| 1982833398 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 520, Murray, UT 84107-5701 | 2009-07-07 |
| 1770742140 | Michael D. Mcculloch | Internal Medicine | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2008-06-02 |
| 1467656264 | Rasheel Chowdhary | Internal Medicine | 5979 S Fashion Blvd, Murray, UT 84107-7364 | 2007-06-14 |
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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.