DONALD R WALTERS (NPI# 1033220249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033220249 |
| Entity Type | Individual |
| Full Name | DONALD R WALTERS |
| Credential | MDPC |
| Practice Address |
212 N Church St Mountain City TN 37683-1326 |
| Practice Telephone | 4237277711 |
| Practice Fax Number | 4237270209 |
| Mailing Telephone | 4237277711 |
| Mailing Fax Number | 4237270209 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD9597 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 2001327 | 05 | |
| TN | TAX ID | 621120255 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134266075 | Donald Thomas Walters | Dentist | 1215 Old Fairhaven Pkwy, Suite A, Bellingham, WA 98225-7444 | 2007-01-31 |
| 1770592537 | Donald S Walters | Dermatology | 521 Montgomery Hwy, Suite 117, Birmingham, AL 35216-1878 | 2006-08-07 |
| 1780600403 | Donald Walters | Nurse Practitioner | 300 W Clarendon Ave, 375, Phoenix, AZ 85013-3420 | 2006-07-14 |
| 1053349779 | Donald Arthur Walters | Internal Medicine | 104 Technology Dr, Suite 202, Butler, PA 16001-1801 | 2006-06-29 |
| 1417944216 | Donald A Walters | Social Worker | 1244 Wisconsin Ave, Suite 303, Racine, WI 53403-1987 | 2005-10-05 |
| Street Address |
212 N CHURCH ST |
| City | MOUNTAIN CITY |
| State | TN |
| Zip Code | 37683-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356529739 | Donald R Walters Mdpc | Clinic/Center | 212 N Church St, Mountain City, TN 37683-1368 | 2008-02-07 |
| 1093873150 | Kristina Louise Tester | Registered Nurse | 212 N Church St, Mountain City, TN 37683-1326 | 2006-12-04 |
| 1538242508 | Reshana D Blevins | Registered Nurse | 212 N Church St, Mountain City, TN 37683-1326 | 2006-10-23 |
| 1467535633 | Taunda Leanne Motsinger | Nurse Practitioner | 212 N Church St, Mountain City, TN 37683-1326 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245749126 | Sugaree Ganzman | Registered Nurse | 277 Trout Run Rd, Mountain City, TN 37683 | 2017-09-24 |
| 1013390764 | Emily B. Mcqueen | Nurse Practitioner | 1901 South Shady Street, Mountain City, TN 37683 | 2015-06-30 |
| 1972917755 | Kelly Horne Singleton | Nurse Practitioner | 3916 Hwy 421 South, Mountain City, TN 37683 | 2014-06-19 |
| 1548496557 | Michelle Wilson | Nurse Practitioner | 1901 S. Shady Street, Mountain City, TN 37683 | 2009-06-04 |
| 1710025069 | Sheila Annette Porter | Counselor | 318 Donnelly Street, Mtn City, TN 37683 | 2007-02-01 |
| 1619050390 | Brandy Lynn Bennett | Case Manager/Care Coordinator | 318 Donnelley Street, Johnson Co Counsel Cent, Mtn City, TN 37683 | 2006-10-24 |
| 1811086317 | Robb R Miller | Counselor | 318 Donnelley St, Johnson County Counseling Center, Mountain City, TN 37683 | 2006-10-12 |
| 1700834678 | Margaret Grace Steward | Pharmacist | 1641 South Shady St, Mountain City, TN 37683 | 2006-05-04 |
| 1184169658 | Wanda Jarrett | Nurse Practitioner | 1901 S Shady St, Mountain City, TN 37683 | 2016-12-20 |
| 1558797399 | Mollie E Tolan | Nurse Practitioner | 1901 S. Shady Street, Johnson City, TN 37683 | 2013-09-25 |
| Find all providers in zip 37683 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN CITY |
| Zip Code | 37683 |
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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.