RICHARD C WALTERS (NPI# 1730132812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730132812 |
| Entity Type | Individual |
| Full Name | RICHARD C WALTERS |
| Credential | MD |
| Practice Address |
3915 Watson Rd Suite 201 Saint Louis MO 63109-1251 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 3148785599 |
| Practice Fax Number | 3148335833 |
| Mailing Telephone | 9206639016 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R5775 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609914001 | Richard C. Walters | Marriage & Family Therapist | 2105 112th Ave Ne Ste 200, Bellevue, WA 98004-2945 | 2007-02-01 |
| 1396848917 | Richard Leigh Walters | Dentist | 537 W Chocolate Ave, Hershey, PA 17033-1600 | 2006-09-07 |
| 1437196615 | Richard J. Walters | Social Worker | 4170 Pennsylvania Ave, Dubuque, IA 52002-2628 | 2006-05-31 |
| 1982856928 | Richard Lawrence Walters | Internal Medicine | 188 Fries Mill Rd, Suite N-1, Turnersville, NJ 08012-2015 | 2008-10-22 |
| 1881655082 | Richard M Walters | Optometrist | 231 Windermere Blvd, Alexandria, LA 71303 | 2006-03-29 |
| Street Address |
3915 WATSON RD SUITE 201 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133321 | James S Compton | Internal Medicine | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2005-09-06 |
| 1659922946 | Allison Leigh Dolan-boschert | Nurse Practitioner | 3915 Watson Rd, Saint Louis, MO 63109-1267 | 2019-09-27 |
| 1841733078 | Summers Healthcare LLC | Internal Medicine | 3915 Watson Rd, Ste 101, Saint Louis, MO 63109-1251 | 2016-11-19 |
| 1053767038 | Schnuck Markets Inc | Registered Nurse | 3915 Watson Rd, Suite101 B, Saint Louis, MO 63109-1251 | 2016-05-10 |
| 1053770701 | Sarah Ann Franssens | Nurse Practitioner | 3915 Watson Rd, Suite 101, Saint Louis, MO 63109-1251 | 2016-02-22 |
| 1215311469 | Forefront Dermatology, S.c. | Dermatology | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109 | 2015-07-17 |
| 1114304565 | Renee Figura | Nurse Practitioner | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2015-05-05 |
| 1437597820 | Labone LLC | Clinical Medical Laboratory | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2013-06-07 |
| 1811268428 | Joseph M Seria Md LLC | Clinic/Center | 3915 Watson Rd, Suite 204, Saint Louis, MO 63109-1251 | 2012-01-13 |
| 1750681151 | South St Louis Medical Associates LLC | Internal Medicine | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605906 | Deluxe Dermatology LLC | Dermatology | 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 | 2020-10-03 |
| 1417597923 | Anna Marie Aiazzi | Dermatology | 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 | 2020-01-13 |
| 1821482373 | David Cotter | Dermatology | 9450 Minerva Ave, Saint Louis, MO 63114-3910 | 2015-03-23 |
| 1710320767 | Mallory Shiver Abate | Dermatology | 1755 S Grand Blvd Dept of Dermatology, Saint Louis, MO 63104-1540 | 2013-04-09 |
| 1689935728 | Rebecca Joy Chibnall | Dermatology | 5225 Mid America Plz Ste 2300, Ste 2300, Saint Louis, MO 63129-0002 | 2012-06-05 |
| 1285928697 | Urvi Patel | Dermatology | 522 N New Ballas Rd Ste 316, Ste 316, Saint Louis, MO 63141-6840 | 2011-06-02 |
| 1235428582 | Hala Fatima Adil | Dermatology | 2315 Dougherty Ferry Rd Ste 200b, Slucare Dermatology, Saint Louis, MO 63122-3383 | 2011-04-06 |
| 1376852087 | Michael Slade Stratton | Dermatology | 2325 Dougherty Ferry Rd Ste 201, Saint Louis, MO 63122-3356 | 2010-09-29 |
| 1255643813 | Sarah Alison Finger Basak | Dermatology | 12855 N 40 Dr Ste 180, Saint Louis, MO 63141-8657 | 2010-07-11 |
| 1285835454 | Nita Kohli | Dermatology | 4901 Forest Park Ave Ste 502, Ste 502, Saint Louis, MO 63108-1402 | 2007-05-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.