DR. DOUGLAS C WALTERS (NPI# 1619919743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619919743 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS C WALTERS |
| Credential | D.M.D. |
| Practice Address |
128 Pennsylvania Ave E Warren PA 16365-2533 |
| Practice Telephone | 8147234488 |
| Practice Fax Number | 8147230769 |
| Mailing Telephone | 8147234488 |
| Mailing Fax Number | 8147230769 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS 017588 L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0696612 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487695169 | Douglas Macdowell Walters | Dentist | 411 Nichols Rd, Suite 236, Kansas City, MO 64112-2000 | 2006-06-10 |
| 1114965068 | Douglas H Walters | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2006-06-03 |
| Street Address |
128 PENNSYLVANIA AVE E |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821037235 | Warren Dental Arts, Inc | Dentist | 128 Pennsylvania Ave E, Warren, PA 16365-2533 | 2006-06-05 |
| 1598709446 | Robert William Follett | Dentist | 128 Pennsylvania Ave E, Warren, PA 16365-2533 | 2006-06-15 |
| 1033152947 | Wade Ritter Crum | Dentist | 128 Pennsylvania Ave E, Warren, PA 16365-2533 | 2006-06-14 |
| 1437191525 | Gail Denise Burns | Dentist | 128 Pennsylvania Ave E, Warren, PA 16365-2533 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177713 | Warren Family Dentistry | Dentist | 11250 E 13 Mile Rd Ste 3, Warren, MI 48093-2597 | 2020-09-04 |
| 1144847294 | Rezan Doku | Dentist | 11552 E 12 Mile Rd Ste 105, Warren, MI 48093-2644 | 2020-07-06 |
| 1710449459 | Benjamin J Underwood Dds LLC | Dentist | 6213 Chicago Rd Ste 100, Warren, MI 48092-1697 | 2019-04-02 |
| 1902341233 | George C. Ploumbis, Dds, Inc. | Dentist | 2239 E Market St, Warren, OH 44483-6105 | 2016-12-22 |
| 1023491586 | A1 Family Dentistry,plc | Dentist | 30205 Schoenherr Rd Ste E, Warren, MI 48088-6800 | 2015-07-02 |
| 1013250026 | Warren Dental Group, David M Raiffe, Dds, Mba, Inc | Dentist | 1019 N Park Ave, Warren, OH 44483-3725 | 2013-03-28 |
| 1508124363 | Marek Jaroslaw Ogledzki | Dentist | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2012-04-30 |
| 1558636936 | Soft Care Dental Group | Dentist | 108 Town Center Dr, Warren, NJ 07059-5692 | 2012-03-18 |
| 1487884375 | Thomas Joseph Wilson | Dentist | 8401 Howland Springs Rd Se, Warren, OH 44484-3120 | 2009-07-26 |
| 1801054085 | Oleg Doubrovski | Dentist | 4265 E 10 Mile Rd, Warren, MI 48091-1578 | 2008-05-24 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on DR. DOUGLAS C WALTERS.
| 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.