MR. WILLIAM J WALSH (NPI# 1669407029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669407029 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM J WALSH |
| Credential | PA |
| Practice Address |
6101 Pine Ridge Rd 1st Floor Desk 12/13 Naples FL 34119-3900 |
| Practice Telephone | 2392630849 |
| Practice Fax Number | 2392632376 |
| Mailing Telephone | 2392630849 |
| Mailing Fax Number | 2392632376 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0003120 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000414700 | 05 | |
| BCBS | Y04N9 | 01 | |
| FL | BLUE CROSS | 40916L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437608106 | William Walsh | Clinical Neuropsychologist | 38713 Tierra Subida Ave Ste 200-137, Palmdale, CA 93551-4562 | 2016-09-22 |
| 1225348014 | William Walsh | Registered Nurse | 248 Vly Atwood Rd, Stone Ridge, NY 12484-5235 | 2010-10-14 |
| 1912185901 | William Anthony Walsh | Surgery | 9919 S Bell Ave, Chicago, IL 60643-1819 | 2008-02-01 |
| 1831269711 | William John Walsh | Chiropractor | 53 Eighth Avenue, Brooklyn, NY 11217-3912 | 2006-11-08 |
| 1518952704 | William Walsh | Chiropractor | 2095 Route 88 E, Brick, NJ 08724-3265 | 2005-09-14 |
| 1982602785 | William K Walsh | Internal Medicine | 2996 Kate Bond Rd, Suite 207, Bartlett, TN 38133-4030 | 2005-07-14 |
| 1790783652 | William Emmett Walsh | Allergy & Immunology | 1690 University Ave W, Suite 450, Saint Paul, MN 55104-3723 | 2005-07-13 |
| 1063067627 | William Walsh II | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2019-08-09 |
| 1780134494 | William Walsh | Registered Nurse | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2016-10-05 |
| 1699139477 | William Walsh | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2016-04-07 |
| Street Address |
6101 PINE RIDGE RD 1ST FLOOR DESK 12/13 |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480941 | Moheb M Mohareb | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2005-07-12 |
| 1053919241 | Christopher John Larson | Specialist/Technologist, Other | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-11 |
| 1699372672 | Kyle Harrington | Physician Assistant | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-03 |
| 1700495389 | Naples Hma LLC | Medicare Defined Swing Bed Unit | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-07-29 |
| 1295350411 | Tian Luo | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-06-12 |
| 1891318481 | Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-05-18 |
| 1457986879 | Lory Ann Taraborelli | Clinical Nurse Specialist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-03-05 |
| 1003453838 | Christina Elana Cibula | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-11-27 |
| 1124671367 | Rebecca Nicole Orr | Pharmacist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-07-17 |
| 1174188999 | Carrie Daugherty | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575479 | Cristina Marie Lago | Physician Assistant | 2325 Stanford Ct, Naples, FL 34112-4813 | 2020-10-14 |
| 1497375075 | Daniela Herrera Ceballos | Physician Assistant | 7943 Haven Dr Unit 1, Naples, FL 34104-5979 | 2020-04-23 |
| 1215587340 | Aida Brax | Physician Assistant | 13005 Collier Blvd, Naples, FL 34116-4003 | 2019-09-20 |
| 1568931335 | Jonathan Fletcher Michaelis | Physician Assistant | 13020 Livingston Rd Ste 14, Naples, FL 34105-5023 | 2018-11-21 |
| 1669971412 | Chelsea Allan | Physician Assistant | 848 1st Ave N Ste 100, Naples, FL 34102-6063 | 2018-02-07 |
| 1336659622 | Miriam Albritton | Physician Assistant | 1201 Piper Blvd Ste 24, Naples, FL 34110-1385 | 2017-10-02 |
| 1821455262 | Laura Khawaja | Physician Assistant | 7069 Lone Oak Blvd, Naples, FL 34109-8875 | 2016-01-15 |
| 1225429889 | Maria Francesca Zampogna Wilson | Physician Assistant | 6400 Davis Blvd Ste 203, Naples, FL 34104-5321 | 2015-02-17 |
| 1972906113 | Kellie Jo Dunlap | Physician Assistant | 830 105th Ave N, Naples, FL 34108-1844 | 2014-10-02 |
| 1902208077 | Bogdan-gabriel Cozmuta | Physician Assistant | 400 8th Street North, Naples, FL 34102-7906 | 2014-09-20 |
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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.