JARROD ALAN WALTERS (NPI# 1679196125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679196125 |
Entity Type | Individual |
Full Name | JARROD ALAN WALTERS |
Practice Address |
4455 Weaver Pkwy Warrenville IL 60555-3269 |
Mailing Address |
1455 Fechner Cir North Aurora IL 60542-1807 |
Practice Telephone | 6308216400 |
Mailing Telephone | 8123615859 |
Enumeration Date | 2020-05-19 |
Last Update Date | 2020-05-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
471317 | IL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
4455 WEAVER PKWY |
City | WARRENVILLE |
State | IL |
Zip Code | 60555-3269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770574881 | William F Hartsell | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555-3269 | 2005-10-31 |
1598175531 | Adil Akthar | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555-3269 | 2014-04-29 |
1598031205 | Stephen Andrew Mihalcik | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555 | 2012-03-27 |
1972824142 | Illinois Proton Center LLC | Clinic/Center | 4455 Weaver Pkwy, Warrenville, IL 60555-3269 | 2010-06-22 |
1164680393 | Preeti K Parhar | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555 | 2008-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
Find all providers in zip 60555 |
Taxonomy Code | 2471R0002X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiation Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598135063 | Joshua Mccann | Radiologic Technologist | 386 Rohlfing Rd, Campbell Hill, IL 62916-2410 | 2015-09-28 |
1417985011 | Western Illinois Cancer Treatment Center | Radiologic Technologist | 450 Mayo Dr, Galesburg, IL 61401-1211 | 2006-06-30 |
1386644995 | Northern Illinois Cancer Treatment Center | Radiologic Technologist | 327 Il Route 2, Dixon, IL 61021-9118 | 2005-07-26 |
City | WARRENVILLE |
Zip Code | 60555 |
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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.