DR. MARY JANE WALTER (NPI# 1821105859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821105859 |
| Entity Type | Individual |
| Full Name | DR. MARY JANE WALTER |
| Credential | D.P.M. |
| Practice Address |
11 Florida Park Dr Palm Coast FL 32137 |
| Practice Telephone | 3864454734 |
| Practice Fax Number | 3864458411 |
| Mailing Telephone | 3864454734 |
| Mailing Fax Number | 3864458411 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | PO-1735 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO-1735 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
PO1735 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
PO1735 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO1735 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO-1735 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1942650320 | Mary Walter | Nurse Practitioner | 712 39th St W, Bradenton, FL 34205-2454 | 2016-06-16 |
| 1740688209 | Mary Walter | Physician Assistant | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2014-12-16 |
| 1770890345 | Mary K. Walter | Physician Assistant | 1222 Pine St, Saint Helena, CA 94574-1830 | 2010-09-02 |
| 1265655112 | Mary Elizabeth Walter | Counselor | 141 W Davies Ave N, Ste 105, Littleton, CO 80120-5211 | 2007-04-10 |
| 1225106172 | Mary Adele Walter | Registered Nurse | 110 E Routt, Pueblo, CO 81004 | 2006-11-30 |
| Street Address |
11 FLORIDA PARK DR |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376527283 | John W Sapienza | Podiatrist | 1 Florida Park Dr N, Ste 101a, Palm Coast, FL 32137-3852 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
| 1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
| 1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
| 1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
| 1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
| 1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
| 1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
| 1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
| 1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
| 1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on DR. MARY JANE WALTER.
| 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.