DR. BRUCE WALTERS (NPI# 1952318636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952318636 |
| Entity Type | Individual |
| Full Name | DR. BRUCE WALTERS |
| Credential | MD |
| Practice Address |
12265 James St Holland MI 49424-8613 |
| Practice Telephone | 5175455944 |
| Practice Fax Number | 5175457390 |
| Mailing Telephone | 5175455944 |
| Mailing Fax Number | 5175457390 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301063906 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 103234489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295854768 | Bruce L. Walters | Dentist | 5740 W Grande Market Dr, Appleton, WI 54913-8406 | 2007-03-28 |
| Street Address |
12265 JAMES ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619932381 | County of Ottawa | Clinic/Center | 12265 James St, Holland, MI 49424-8613 | 2006-04-18 |
| 1225641004 | Kaeding Skelton | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2020-08-31 |
| 1528684701 | Kerri Ann Vanhorn | Case Manager/Care Coordinator | 12265 James St, Holland, MI 49424-8613 | 2020-06-23 |
| 1942822721 | Lisa Marie Fox | Counselor | 12265 James St, Holland, MI 49424-8613 | 2020-05-14 |
| 1811547714 | Tammy Loggins | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-09-13 |
| 1487219226 | Raquel Hall | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-05-07 |
| 1962976399 | Ireana Destiney | Counselor | 12265 James St, Holland, MI 49424-8613 | 2019-01-18 |
| 1063985950 | Rebecca Wyngarden | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-01-03 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1902392145 | Melody Ermatinger | Registered Nurse | 12265 James St, Holland, MI 49424-8613 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528385788 | Sreekanth V Indurti Md Inc | Psychiatry & Neurology | 218 Forest Glen Dr, Holland, OH 43528-8195 | 2010-04-28 |
| 1215116397 | Virginia Truitt Sherr | Psychiatry & Neurology | 47 Crescent Dr, Holland, PA 18966-2105 | 2007-10-25 |
| 1295743094 | Nicholas A Abid | Psychiatry & Neurology | 1194 Beach Dr, Holland, MI 49423-4486 | 2006-08-04 |
| 1235109372 | Thomas Willliam Kuhn | Psychiatry & Neurology | 854 S Washington Ave, Suite 330, Holland, MI 49423-7144 | 2006-01-23 |
| 1578833695 | John R. Beyer, D. O., Pllc | Psychiatry & Neurology | 44 E 8th St, Suite 200, Holland, MI 49423-3575 | 2012-01-05 |
| 1255625273 | Emily Todd | Psychiatry & Neurology | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2011-06-07 |
| 1760613046 | Julie Ann Arellano | Psychiatry & Neurology | 926 Washington Ave, Holland, MI 49423-7725 | 2009-08-04 |
| 1760655195 | Lucien Tamer | Psychiatry & Neurology | 854 Washington Ave, Suite 330, Holland, MI 49423-7144 | 2008-04-07 |
| 1154541118 | Jane Broering Ammons | Psychiatry & Neurology | 7429 International Dr, #2, Holland, OH 43528 | 2007-05-01 |
| 1477693505 | James R Dumerauf | Psychiatry & Neurology | 602 Michigan Ave, Holland, MI 49423-4918 | 2007-02-07 |
| Find all providers in HOLLAND | ||||
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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.