DENNIS D WALSTON


Address: 45 Snelling Ave N, Saint Paul, MN 55104-6842
Phone: 6513265650

DENNIS D WALSTON (NPI# 1124089289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124089289
Entity Type Individual
Full Name DENNIS D WALSTON
Credential DO
Practice Address 45 Snelling Ave N
Saint Paul
MN 55104-6842
Practice Telephone 6513265650
Practice Fax Number 6513265671
Mailing Telephone 6513265650
Mailing Fax Number 6513265671
Enumeration Date 2006-03-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 28636 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 45 SNELLING AVE N
City SAINT PAUL
State MN
Zip Code 55104-6842

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033188982 Elizabeth A Reinhart Midwife 45 Snelling Ave N, Saint Paul, MN 55104-6842 2006-03-14
1417503285 Elizabeth Ann Leppart Nutritionist 45 Snelling Ave N, Saint Paul, MN 55104-6842 2019-08-16
1265947576 Wendy Jean Obrien Dietitian, Registered 45 Snelling Ave N, Saint Paul, MN 55104-6842 2017-12-08
1942720453 Leah Catherine Kleinschrodt Dietitian, Registered 45 Snelling Ave N, Saint Paul, MN 55104-6842 2017-06-26
1851834600 Shelby Lee Olson Nutritionist 45 Snelling Ave N, Saint Paul, MN 55104-6842 2016-11-28
1770969750 Teresa Wagner Dietitian, Registered 45 Snelling Ave N, Saint Paul, MN 55104-6842 2015-08-03
1679976849 Jamie Carlson Dietitian, Registered 45 Snelling Ave N, Saint Paul, MN 55104-6842 2014-10-02
1790186732 Jennifer Barnes Nutritionist 45 Snelling Ave N, Saint Paul, MN 55104-6842 2014-09-09
1700024890 Nutritional Weight & Wellness, Inc. Nutritionist 45 Snelling Ave N, Saint Paul, MN 55104 2009-01-27
1508018672 Jessica Dianne Theorin Holm Advanced Practice Midwife 45 Snelling Ave N, Saint Paul, MN 55104-6842 2008-10-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457889420 Thanh Phung Family Medicine 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 2017-06-02
1518338268 Northstar Professional Services Family Medicine 924 Rice St, Saint Paul, MN 55117-4987 2015-10-07
1386064111 Laura Giegler Family Medicine 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 2014-04-19
1306287719 John Gordon Faughnan Family Medicine 1660 Stanford Ave, Saint Paul, MN 55105-2038 2013-07-13
1194041277 Mark William Eaton Family Medicine 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 2010-04-14
1326277815 Branden James Pfefferkorn Family Medicine 2004 Ford Pkwy # Ms 35300a, Saint Paul, MN 55116-1931 2009-07-07
1780812651 James Edward Hougas IIi Family Medicine Ump Phalen Village Clinic, 1414 Maryland Ave E, Saint Paul, MN 55106 2009-06-30
1871748509 Deborah Lee Wexler Family Medicine 1573 Selby Ave, Suite 234, Saint Paul, MN 55104-6293 2008-11-21
1124206677 Family Healthservices Minnesota, P.a. Family Medicine 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 2008-02-07
1174703805 Family Healthservices Minnesota, P.a. Dba Entira Family Clinics Family Medicine 1385 Phalen Boulevard, Saint Paul, MN 55106 2007-11-09
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Competitor

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City SAINT PAUL
Zip Code 55104

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Dataset Information

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.

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