DIANE WALDER MDPA (NPI# 1013940774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013940774 |
| Entity Type | Organization |
| Organization Name | DIANE WALDER MDPA |
| Practice Address |
1111 Kane Concourse Suite 100 Bay Harbor Islands FL 33154-2029 |
| Practice Telephone | 3058662177 |
| Practice Fax Number | 3058665302 |
| Mailing Telephone | 3058662177 |
| Mailing Fax Number | 3058665302 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANE WALDER (PRESIDENT) |
| Authorized Official Telephone | 3058662177 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME39412 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023030038 | Diane Walder Mdpa | Specialist | 1111 Kane Concourse, Suite 100, Bay Harbor Islands, FL 33154-2029 | 2006-07-25 |
| Street Address |
1111 KANE CONCOURSE SUITE 100 |
| City | BAY HARBOR ISLANDS |
| State | FL |
| Zip Code | 33154-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366428492 | William G Malcolm | Podiatrist | 1111 Kane Concourse, Suite 111, Bay Harbor Islands, FL 33154-2029 | 2005-12-20 |
| 1093255820 | South Florida Integrative Health Center LLC | Clinic/Center | 1111 Kane Concourse, 511, Bay Harbor Islands, FL 33154-2029 | 2017-02-27 |
| 1124424015 | Lila Shoshana Chertman | Internal Medicine | 1111 Kane Concourse, Suite 511, Bay Harbor Islands, FL 33154 | 2014-11-05 |
| 1427393800 | Lee A Gibstein Md Pa | Surgery | 1111 Kane Concourse, Suite 311, Bay Harbor Islands, FL 33154-2029 | 2012-12-11 |
| 1730445354 | H M Reed Md Pa | Urology | 1111 Kane Concourse, 311, Bay Harbor Islands, FL 33154-2041 | 2012-04-09 |
| 1962663443 | Stacy Marie Chimento | Specialist | 1111 Kane Concourse, Suite 100, Bay Harbor Islands, FL 33154-2029 | 2008-06-18 |
| 1093867145 | William G Malcolm Dpm Pa | Podiatrist | 1111 Kane Concourse, Suite 111, Bay Harbor Islands, FL 33154-2029 | 2007-01-17 |
| 1558445023 | Jonathan Michael Tuman | Dentist | 1111 Kane Concourse, #515, Bay Harbor Islands, FL 33154-2029 | 2006-10-24 |
| 1811085087 | Adi Group Rehab Inc | Medical Genetics, Ph.D. Medical Genetics | 1111 Kane Concourse, Suite 510, Bay Harbor Islands, FL 33154-2029 | 2006-10-11 |
| 1851489066 | Lee A Gibstein | Specialist | 1111 Kane Concourse, Suite 311, Bay Harbor Islands, FL 33154-2029 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033582507 | Richard Fuisz | General Practice | 9101 East Bay, Suite 706, Bay Harbor Islands, FL 33154 | 2015-11-05 |
| 1144468323 | Gary L Curson Pa | Durable Medical Equipment & Medical Supplies | 9528 Harding Avenue, Surfside, FL 33154 | 2009-01-27 |
| 1043487648 | Steven D Weissman Dmd Pa | Dentist | 1031 Kane Concourse, Bay Harbor, FL 33154 | 2008-05-13 |
| 1427237817 | Ellen K Newburger | Psychologist | 1108 96th St, #209, Bay Harbor, FL 33154 | 2007-11-01 |
| 1316137433 | Linda Oxenberg | Social Worker | 9550 Bay Harbor Terrace, Suite 207, Bay Harbor, FL 33154 | 2007-07-25 |
| 1952513939 | Gabico Services Inc | Phlebology | 8446 South Dixie Hwy, Miami, FL 33154 | 2007-05-04 |
| 1396861894 | Vernon G Dorfman | Psychiatry & Neurology | 260 95th Street, 203 Surfside Professional Building, Surfside, FL 33154 | 2007-03-22 |
| 1780713792 | Oscar Farmati | Allergy & Immunology | 9240 W Bay Harbor Dr, Bay Harbor, FL 33154 | 2007-03-05 |
| 1932255643 | Silvia Galvis Lundstrom | Counselor | 1045 Kane Concourse, Suite 215, Bay Harbor Islands, FL 33154 | 2007-01-26 |
| 1881773521 | Estela Pinnavaria | Pharmacist | 15173 Ne 21 Ave, North Miami Beach, FL 33154 | 2006-11-03 |
| Find all providers in zip 33154 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104198555 | Ayasha Nejeebah Nasai | Specialist | 1166 Kane Concourse, Suite 201, Bay Harbor Islands, FL 33154-2000 | 2012-02-01 |
| 1619172079 | Alexander M. Matz | Specialist | 1065 Kane Concourse, Suite 101, Bay Harbor Islands, FL 33154-2100 | 2007-06-17 |
| 1033169602 | Vicente Enrique Roger | Specialist | 1069 Kane Concourse, Bay Harbor Islands, FL 33154-2105 | 2006-05-12 |
| 1962663443 | Stacy Marie Chimento | Specialist | 1111 Kane Concourse, Suite 100, Bay Harbor Islands, FL 33154-2029 | 2008-06-18 |
| 1619172061 | Erin Weinbrum | Specialist | 1065 Kane Concourse, Suite 101, Bay Harbor Islands, FL 33154-2100 | 2007-06-17 |
| 1265649990 | Beachside Pediatrics | Specialist | 1145 Kane Concourse, Bay Harbor Islands, FL 33154-2012 | 2007-05-16 |
| 1851489066 | Lee A Gibstein | Specialist | 1111 Kane Concourse, Suite 311, Bay Harbor Islands, FL 33154-2029 | 2006-10-11 |
| 1023030038 | Diane Walder Mdpa | Specialist | 1111 Kane Concourse, Suite 100, Bay Harbor Islands, FL 33154-2029 | 2006-07-25 |
| 1588697221 | Diane Walder | Specialist | 1111 Kane Concourse, Suite 100, Bay Harbor Islands, FL 33154-2029 | 2006-07-08 |
| 1538110168 | Vicente Roger, M.d.,p.a. | Specialist | 1069 Kane Concourse, Bay Harbor Islands, FL 33154-2105 | 2006-05-16 |
| Find all providers in BAY HARBOR ISLANDS | ||||
| City | BAY HARBOR ISLANDS |
| Zip Code | 33154 |
Please comment or provide details below to improve the information on DIANE WALDER MDPA.
| 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.