DR. EDWARD J. WALSH (NPI# 1124010954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124010954 |
Entity Type | Individual |
Full Name | DR. EDWARD J. WALSH |
Credential | M.D. |
Practice Address |
1320 Mercy Dr Nw Canton OH 44708-2614 |
Practice Telephone | 3304891278 |
Practice Fax Number | 3304302778 |
Mailing Telephone | 3304891278 |
Mailing Fax Number | 3304302778 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2010-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35059023 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | UNISON | 000000224357 | 01 |
OH | BUCKEYE | 732806 | 01 |
OH | WELLCARE | 364106 | 01 |
OH | ANTHEM | 000000529637 | 01 |
OH | AETNA | 2326673 | 01 |
OH | 2026695 | 05 | |
OH | RAILROAD MEDICARE | P00445898 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003479072 | Edward P Walsh | Social Worker | 1 Va Center Dr, Mhc, Augusta, ME 04239 | 2019-04-16 |
1508003054 | Edward D. Walsh | Counselor | 330 W 58th St Ste 508, New York, NY 10019-1819 | 2009-01-20 |
1992363907 | Edward John Walsh | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2019-06-04 |
1063744555 | Edward Thomas Walsh II | Registered Nurse | Usa Meddac Bavaria, Cmr 411 Bldg 700, Rose Barracks, Apo, AE 09112 | 2010-02-08 |
1003070954 | Edward J Walsh | Radiology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2008-07-10 |
1275734113 | Edward Francis Walsh | Dentist | 8225 Grand Ave, River Grove, IL 60171-1517 | 2007-05-29 |
1992853238 | Edward Gilbert Walsh | Emergency Medicine | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2007-01-05 |
1407881097 | Edward E Walsh | Internal Medicine | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-07-11 |
1467427179 | Edward Patrick Walsh | Internal Medicine | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-02-17 |
Street Address |
1320 MERCY DR NW |
City | CANTON |
State | OH |
Zip Code | 44708-2614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942206230 | Community Dialysis Units, LLC | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2005-06-22 |
1295333193 | Danielle Kaya | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-10-13 | |
1831796655 | Melissa Lynn Alex | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-05 |
1902403181 | Katherine Mary Anderson | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-01 |
1154938496 | Kristen Nicole Wheeler | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
1669089801 | Mary Lou Keener | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
1124633474 | Lauren Angus | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-09-14 |
1316550189 | Ryan Daniel Hickey | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-31 |
1669082772 | Cynthia Marie Colt | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184677098 | Peter William Possert | Radiology | 460 Northside Cherokee Blvd Ste T10, Canton, GA 30115-8017 | 2006-05-19 |
1932151420 | John A Burnett | Radiology | 3790 Woodleigh Ave Nw, Canton, OH 44718-2259 | 2006-05-16 |
1336386945 | Sarah Grabowski | Radiology | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2009-01-20 |
1629082722 | Suzan S Cheng | Radiology | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-07-27 |
1275568974 | Philip Alan Schneider | Radiology | 2600 6th St Sw, Canton, OH 44710-1702 | 2006-07-11 |
1003847278 | Stark Radiation Oncology Incorporated | Radiology | 2600 6th St Sw, Canton, OH 44710-1702 | 2006-07-06 |
1992779201 | Laird Ekholm Olson | Radiology | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
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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.