Lonnie Walters (NPI# 1174684328, PAC ID# 9537257332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1174684328 |
PAC ID by PECOS | 9537257332 |
Professional Enrollment ID | I20071113000657 |
Full Name | Lonnie Walters |
Organization Legal Name | MARK V WALTERS DC PC |
Address |
316 W Mount Vernon Blvd Mount Vernon MO 65712-1940 |
Phone Number | 4174611155 |
Gender | M |
Medical School | CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY |
Graduation Year | 1969 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 8820160096 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
316 W Mount Vernon Blvd, Mount Vernon, MO 65712-1940 | 4174611155 | MARK V WALTERS DC PC |
316 W Mount Vernon Blvd, Walters Chiropractic, Mount Vernon, MO 65712-1940 | 4174611155 | MARK V WALTERS DC PC |
Organization Legal Name | MARK V WALTERS DC PC |
Physicians | 1 |
Street Address |
316 W MOUNT VERNON BLVD |
City | MOUNT VERNON |
State | MO |
Zip | 65712-1940 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark V Walters | Chiropractic | 316 W Mount Vernon Blvd, Walters Chiropractic, Mount Vernon, MO 65712-1940 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shawn C Brown | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 101 W Patterson St, Mount Vernon, MO 65712-1054 |
Cheryl L Williams | Family Medicine | 1011 S E Buiness Loop, 44 Mt Vernon Clinic, Mt Vernon, MO 65712-1331 | |
William Mckay | Family Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
Charles Watt | Geriatric Medicine | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
Malinda K Kendrick | Nurse Practitioner | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
Fernando Cavero | Internal Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
Robin L Cavero | Nurse Practitioner | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
Lisa Mccoy | Nurse Practitioner | Sgoh Acquisition Inc | 108 S Hickory St, Mt Vernon, MO 65712-1407 |
City | MOUNT VERNON |
Zip Code | 65712 |
Specialty | CHIROPRACTIC |
City + Specialty | MOUNT VERNON + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.