THOMAS H. WALTER DPM, INC. (NPI# 1023208360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023208360 |
| Entity Type | Organization |
| Organization Name | THOMAS H. WALTER DPM, INC. |
| Practice Address |
145 Liberty St Pawcatuck CT 06379-1538 |
| Practice Telephone | 8605994555 |
| Practice Fax Number | 8605991394 |
| Mailing Telephone | 8605994555 |
| Mailing Fax Number | 8605991394 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2020-01-19 |
| Authorized Official Name | THOMAS WALTER (PODIATRIST/OWNER) |
| Authorized Official Telephone | 8605994555 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 13126 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MC GROUP NUMBER | C01464 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | THOMAS H. WALTER DPM, INC. | 12 Roosevelt Avenue, Packer Business Suite 2, Mystic, CT 06355 |
| Street Address |
145 LIBERTY ST |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457317190 | Thomas H Walter | Podiatrist | 145 Liberty St, Pawcatuck, CT 06379-1538 | 2006-04-21 |
| 1871950584 | Stephania Sciamano, Nd, LLC | Naturopath | 145 Liberty St, C5, Pawcatuck, CT 06379-1538 | 2016-01-26 |
| 1760642169 | Stephania Aradya Sciamano | Naturopath | 145 Liberty St, C5, Pawcatuck, CT 06379-1538 | 2008-06-10 |
| 1871785147 | Sarah-anne M Bruno | Chiropractor | 145 Liberty St, Pawcatuck, CT 06379-1538 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957565 | Stacy Jean Wheland | Behavioral Analyst | 2 Hickory Ln, Pawcatuck, CT 06379 | 2017-12-11 |
| 1255882379 | Jacqueline M. Nichols-holden | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379 | 2016-10-24 |
| 1972635027 | Roy C Gumpel | Internal Medicine | 86 Palmer Neck Rd, Pawcatuck, CT 06379 | 2007-03-12 |
| 1811062904 | Gene S Renz | Dentist | 101 West Broad Street, Pawcatuck, CT 06379 | 2006-11-22 |
| 1790746295 | Mary Sue Agostini | Physical Therapist | 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379 | 2006-04-01 |
| 1558907154 | Holden Hands Massage, LLC | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379-1233 | 2019-11-19 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1093369852 | Ryan David Lee | Specialist/Technologist | 1 Fairway Ct, Pawcatuck, CT 06379-1240 | 2019-07-30 |
| 1891094116 | Susan Alfiero-bavasso | Speech-Language Pathologist | 2 Fairway Ct, Pawcatuck, CT 06379-1240 | 2011-03-25 |
| 1164935250 | Katharine Headley | Student in an Organized Health Care Education/Training Program | 61 Timber Ridge Rd, Pawcatuck, CT 06379-1241 | 2017-11-10 |
| Find all providers in zip 06379 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457317190 | Thomas H Walter | Podiatrist | 145 Liberty St, Pawcatuck, CT 06379-1538 | 2006-04-21 |
| 1215019435 | Sean Andrew Colsen | Podiatrist | 16 Lincoln Ave, Pawcatuck, CT 06379-1856 | 2006-10-19 |
| 1205916681 | Steven Roger Colsen | Podiatrist | 16 Lincoln Ave, Pawcatuck, CT 06374-1856 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
| Find all providers with the same taxonomy | ||||
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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.