WALTER HOLDER JR. (NPI# 1073580536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073580536 |
| Entity Type | Individual |
| Full Name | WALTER HOLDER JR. |
| Credential | M.D. |
| Practice Address |
1145 Broadway Seattle WA 98122-4201 |
| Practice Telephone | 2068605414 |
| Mailing Telephone | 2068605414 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD00042475 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8355893 | 05 |
| Street Address |
1145 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112107 | Hunter A Mckay | Specialist | 1145 Broadway, Seattle, WA 98122-4201 | 2005-05-23 |
| 1215420518 | Samuel Aren Bernstein Mann | Registered Nurse | 1145 Broadway, Seattle, WA 98122-4201 | 2018-06-11 |
| 1134677578 | Hilaire Jane Thompson | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2016-09-14 |
| 1285035105 | Dawn Darroch | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2014-09-10 |
| 1669808341 | Jennifer A. Carmichael | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2013-09-25 |
| 1750640868 | Jonathan Liu | Internal Medicine | 1145 Broadway, Seattle, WA 98122-4201 | 2012-05-09 |
| 1144586587 | Jeffrey Bruce Kennedy | Ophthalmology | 1145 Broadway, Seattle, WA 98122-4201 | 2012-04-10 |
| 1063790004 | Katherine M. Negron | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2011-07-25 |
| 1164712931 | Daiva Nevidomskyte | Surgery | 1145 Broadway, Seattle, WA 98122-4201 | 2011-04-14 |
| 1598054355 | Ulrik Georg Wallin | Colon & Rectal Surgery | 1145 Broadway, Seattle, WA 98122-4201 | 2011-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239981 | Peter C. Wu | Surgery | 1660 S Columbian Way # S-112, Seattle, WA 98108-1532 | 2006-08-30 |
| 1073541959 | Evan Ong | Surgery | 1221 Madison St Ste 1411, Seattle, WA 98104-1360 | 2006-06-29 |
| 1962726521 | Meghan Rose Flanagan | Surgery | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2010-03-25 |
| 1043534936 | Nicole Kansier Zern | Surgery | 1959 Ne Pacific St, Seattle, WA 98195-0004 | 2010-03-21 |
| 1962662486 | Teresa S Kim | Surgery | 1959 Ne Pacific Street, Seattle, WA 98195 | 2008-06-10 |
| 1356514186 | Pamela Li | Surgery | 1221 Madison St Ste 600, Seattle, WA 98104-1364 | 2008-04-13 |
| 1164620092 | James Oh Park | Surgery | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-07-03 |
| 1689729568 | Venu G Pillarisetty | Surgery | 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-6410 | 2007-01-24 |
| 1942367487 | Benjamin Olney Anderson | Surgery | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2007-01-03 |
| 1336224138 | Kristine Elizabeth Calhoun | Surgery | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-6165 | 2006-10-27 |
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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.