DR. SUSAN DIANA WALKER (NPI# 1013950955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013950955 |
| Entity Type | Individual |
| Full Name | DR. SUSAN DIANA WALKER |
| Credential | M.D. |
| Practice Address |
492 Montauk Hwy East Moriches NY 11940-1347 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6316382900 |
| Mailing Telephone | 6314440650 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 211855 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134049 | Susan S Walker | Psychologist | 401 Broadway Ste 609, New York, NY 10013-3029 | 2019-09-30 |
| 1316405418 | Susan Walker | Clinic/Center | 19920 Nw 3rd Pl, Miami, FL 33169-2934 | 2019-03-07 |
| 1801386347 | Susan Milligan Walker | Speech-Language Pathologist | 600 Concourse Blvd, Glen Allen, VA 23059-5779 | 2018-05-10 |
| 1437650991 | Susan Lenore Walker | Social Worker | 419 W Redwood St Ste 560, Baltimore, MD 21201-7023 | 2018-02-21 |
| 1265883466 | Susan Walker | Emergency Medicine | 513 Quail Run Dr, Warner Robins, GA 31088-3038 | 2016-06-29 |
| 1922329648 | Susan M Walker | Occupational Therapist | 12350 Lithuania Dr, Granada Hills, CA 91344-1637 | 2010-06-16 |
| 1649417007 | Susan L Walker | Registered Nurse | 456 Roosevelt Trl, Windham, ME 04062-6918 | 2009-01-07 |
| 1891993986 | Susan Nellist Walker | Speech-Language Pathologist | 1573 E. Roy Rd., Freeland, WA 98249 | 2007-07-10 |
| 1205951027 | Susan S Walker | Psychiatry & Neurology | Cambridge Hospital Dept of Psychiatry, 1493 Cambridge Street, Cambridge, MA 02139 | 2007-03-20 |
| 1942351192 | Susan M Walker | Nurse Practitioner | 830 Washington St 3rd Floor, Samaritan Medical Center Pmc, Watertown, NY 13601-3211 | 2007-01-15 |
| Street Address |
492 MONTAUK HWY |
| City | EAST MORICHES |
| State | NY |
| Zip Code | 11940-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942267539 | Steven John Pesce | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2006-04-27 |
| 1740595461 | Jennifer Lynn Klingenberger-beyer | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2010-08-18 |
| 1215179973 | Zachary Colin Jacobs | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2009-03-27 |
| 1346440013 | Regina G Muir | Nurse Practitioner | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2007-07-20 |
| 1396940169 | Megan Kasnicki | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2007-06-20 |
| 1689616773 | Eileen Kelly | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903450 | Ambulance Committee of The Moriches, Inc | Ambulance | 275 Montauk Highway, East Moriches, NY 11940 | 2019-10-11 |
| 1760938328 | Erica Bove | Pharmacist | 94a Montauk Highway, East Moriches, NY 11940 | 2016-09-01 |
| 1700293305 | Sean D Brown | Registered Nurse | 11 Wilson Ave, East Moriches, NY 11940 | 2014-07-15 |
| 1255629564 | Mary Ellen Catherine Vadax | Licensed Practical Nurse | 61 Pine Edge Dr, East Moriches, NY 11940 | 2011-07-20 |
| 1447581178 | Vera-ellen Frances White | Family Medicine | 82 Inletview Path, East Moriches, NY 11940 | 2010-01-20 |
| 1144559881 | South Shore Psychological Care P.C. | Psychologist | 250 Montauk Highway, East Moriches, NY 11940 | 2009-12-09 |
| 1598909079 | Wendy Ann Geehreng | Nurse Practitioner | 492 Montauk Highway, East Moriches, NY 11940 | 2009-04-28 |
| 1013161835 | Patricia Beaujuin | Licensed Practical Nurse | 59 Linconl Blvd, Eastmoriches, NY 11940 | 2008-11-06 |
| 1174796635 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 65 Pine St, East Moriches, NY 11940 | 2008-04-07 |
| 1356514814 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 120 Frowein Rd, East Moriches, NY 11940 | 2008-04-07 |
| Find all providers in zip 11940 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942267539 | Steven John Pesce | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2006-04-27 |
| 1740595461 | Jennifer Lynn Klingenberger-beyer | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2010-08-18 |
| 1396940169 | Megan Kasnicki | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2007-06-20 |
| 1689616773 | Eileen Kelly | Pediatrics | 492 Montauk Hwy, East Moriches, NY 11940-1347 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST MORICHES |
| Zip Code | 11940 |
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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.