DR. JASON ANTHONY WALTERS (NPI# 1063679553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063679553 |
| Entity Type | Individual |
| Full Name | DR. JASON ANTHONY WALTERS |
| Credential | M.D. |
| Practice Address |
1601 S Andrews Ave Fl 2 Fort Lauderdale FL 33316-2509 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9545223355 |
| Practice Fax Number | 9545229590 |
| Mailing Telephone | 9545223355 |
| Mailing Fax Number | 9545229590 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME117228 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
P7722 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018508700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629386305 | Jason Walters | Technician, Other | 3476 West Hwy 80, Emmalena, KY 41740 | 2010-09-16 |
| 1073654968 | Jason Walters | Physical Therapist | 1644 N Milwaukee Ave, Chicago, IL 60647-5412 | 2007-02-12 |
| Street Address |
1601 S ANDREWS AVE FL 2 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013278738 | North Broward Hospital District | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2012-05-30 |
| 1629219316 | Bradley I. Roth | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2009-03-10 |
| 1669666970 | Emily Mae Keener | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2007-08-29 |
| 1275564064 | Brian J Cross | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-07-06 |
| 1144258195 | North Broward Hospital District | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-06-29 |
| 1003864638 | Stephen M. Swirsky | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-05-05 |
| 1033174156 | Daniel R Kanell | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1548559834 | Michael C Kindya | Orthopaedic Surgery | 2307 W Broward Blvd Ste 200, Fort Lauderdale, FL 33312-1420 | 2011-04-07 |
| 1215170808 | Adam Jason Lipman | Orthopaedic Surgery | 800 E Cypress Creek Rd Ste 304, Fort Lauderdale, FL 33334-3522 | 2009-04-12 |
| 1003864638 | Stephen M. Swirsky | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-05-05 |
| 1528023314 | Erol A Yoldas | Orthopaedic Surgery | 1601 S Andrews Ave, 3rd Floor, Fort Lauderdale, FL 33316-2509 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1770004152 | Ortho Florida, LLC | Orthopaedic Surgery | 9195 Sunset Dr Ste 100, Miami, FL 33173-3488 | 2017-07-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.