EDWARD J WALSH (NPI# 1003070954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003070954 |
| Entity Type | Individual |
| Full Name | EDWARD J WALSH |
| Credential | MD |
| Practice Address |
1105 Sixth St Traverse City MI 49684-2345 |
| Mailing Address |
Po Box 30516 Dept. 9516 Lansing MI 48909 |
| Practice Telephone | 2319350497 |
| Mailing Telephone | 2319350497 |
| Mailing Fax Number | 2319350498 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301092538 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301092538 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479072 | Edward P Walsh | Social Worker | 1 Va Center Dr, Mhc, Augusta, ME 04239 | 2019-04-16 |
| 1508003054 | Edward D. Walsh | Counselor | 330 W 58th St Ste 508, New York, NY 10019-1819 | 2009-01-20 |
| 1992363907 | Edward John Walsh | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2019-06-04 |
| 1063744555 | Edward Thomas Walsh II | Registered Nurse | Usa Meddac Bavaria, Cmr 411 Bldg 700, Rose Barracks, Apo, AE 09112 | 2010-02-08 |
| 1275734113 | Edward Francis Walsh | Dentist | 8225 Grand Ave, River Grove, IL 60171-1517 | 2007-05-29 |
| 1992853238 | Edward Gilbert Walsh | Emergency Medicine | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2007-01-05 |
| 1407881097 | Edward E Walsh | Internal Medicine | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-07-11 |
| 1467427179 | Edward Patrick Walsh | Internal Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-02-17 |
| 1124010954 | Edward J. Walsh | Radiology | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2005-08-18 |
| Street Address |
1105 SIXTH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364315 | Kersti Bruining | Specialist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2005-05-24 |
| 1366060949 | Jillian Kordecki Finn | Student in an Organized Health Care Education/Training Program | 1105 Sixth St, Traverse City, MI 49684-2345 | 2020-07-09 |
| 1457998163 | Michele Marie Pupel | Registered Nurse | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-12-02 |
| 1205473956 | Dawn Elizabeth Gilbert | Health Educator | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-12-02 |
| 1376196519 | Erin Elizabeth Ackley | Speech-Language Pathologist | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-07-17 |
| 1174185938 | Shelly Drew | Speech-Language Pathologist | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-07-02 |
| 1144881863 | Rebecca Jan Nies | Speech-Language Pathologist | 1105 Sixth St, Traverse City, MI 49684-2386 | 2019-06-24 |
| 1336704139 | Anna O'connell | Nurse Practitioner | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-05-07 |
| 1619532900 | Brittany Miller | Dietitian, Registered | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-05-02 |
| 1649735226 | Morgan Kelsey Olson | Physician Assistant | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427176429 | James Anderson Shirley | Radiology | 9958 Peninsula Dr, Traverse City, MI 49686-8395 | 2007-03-27 |
| 1598029407 | William Charles Allsopp | Radiology | 1105 Sixth St, Traverse City, MI 49684 | 2012-06-26 |
| 1275896490 | William David Karczewski | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2012-06-21 |
| 1164748802 | Leah Ashley Carlson | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2010-04-19 |
| 1568787034 | Leah Claire Davis | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2010-03-29 |
| 1083849160 | Anthony Livorine | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2009-05-19 |
| 1194984930 | Farhaan Rowshan Mir | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2008-06-06 |
| 1346460623 | Daniel J Boss | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-04-27 |
| 1649329426 | Patrick Thomas Gartland | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-01-09 |
| 1780698910 | Todd Eugene Wilson | Radiology | 10850 E Traverse Hwy, Suite 60, Traverse City, MI 49684-1364 | 2006-07-27 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on EDWARD J WALSH.
| 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.