DR. STUART A WALEK (NPI# 1124128004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124128004 |
| Entity Type | Individual |
| Full Name | DR. STUART A WALEK |
| Credential | M.D. |
| Practice Address |
2467 Enterprise Rd Suite A Clearwater FL 33763-1724 |
| Practice Telephone | 7277911411 |
| Practice Fax Number | 7277911419 |
| Mailing Telephone | 7277911411 |
| Mailing Fax Number | 7277911419 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME89667 | FL | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME89667 | FL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME89667 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2467 ENTERPRISE RD SUITE A |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33763-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780595 | Allan G Keller | Chiropractor | 2467 Enterprise Rd, Suite D, Clearwater, FL 33763-1724 | 2006-02-20 |
| 1649838988 | Kate Schwed | Nurse Practitioner | 2467 Enterprise Rd, Clearwater, FL 33763-1724 | 2019-06-02 |
| 1831583400 | Fields Chiropractic LLC | Chiropractor | 2467 Enterprise Rd, Ste. D, Clearwater, FL 33763-1724 | 2015-03-23 |
| 1770912537 | Bay Area Dental Sleep Associates | Dentist | 2467 Enterprise Rd, Suite F, Clearwater, FL 33763-1724 | 2013-11-02 |
| 1093156200 | Brandon Lee Fields | Chiropractor | 2467 Enterprise Rd, Ste. D, Clearwater, FL 33763-1724 | 2013-07-16 |
| 1952659716 | Manovill Chiropractic, Inc | Chiropractor | 2467 Enterprise Rd, Suite D, Clearwater, FL 33763-1724 | 2012-08-27 |
| 1194914978 | Countryside Dermatology and Laser Center Inc | Dermatology | 2467 Enterprise Rd, Suite A, Clearwater, FL 33763-1724 | 2007-10-17 |
| 1932319910 | Gregory R Prior | Dentist | 2467 Enterprise Rd, Suite F, Clearwater, FL 33763-1724 | 2007-05-22 |
| 1114039732 | Susan St.clair Roper | Dermatology | 2467 Enterprise Rd, Suite A, Clearwater, FL 33763-1724 | 2006-08-31 |
| 1700851201 | Thomas M Manovill | Chiropractor | 2467 Enterprise Rd, Suite D, Clearwater, FL 33763-1724 | 2006-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205201613 | Joshua Roop | Counselor | 2725 Park Dr Ste 2f, Clearwater, FL 33763 | 2015-12-10 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1568893840 | Shawna Byrd | Counselor | 2725 Park Dr Ste 2e, Clearwater, FL 33763 | 2013-12-11 |
| 1265670178 | Clearwater Chiropractic Center LLC | Chiropractor | 25400 Us Highway 19 North, Suite 112, Clearwater, FL 33763 | 2009-01-30 |
| 1447472667 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2555 Enterprise Road, Suite 3, Clearwater, FL 33763 | 2007-05-03 |
| 1376679464 | Mary Ellen Baker-gayne | Counselor | 2555 Enterprise Rd., Ste. 2, Clearwater, FL 33763 | 2007-02-26 |
| 1669524708 | Robert Steven Colen | Counselor | 24761 Us 19 North, Ste 680, Clearwater, FL 33763 | 2007-01-17 |
| 1780758037 | Diana Lynn Summers Denta | Social Worker | 24761 Us Hwy 19 N, Suite 680, Clearwater, FL 33763 | 2006-11-20 |
| 1891808952 | Cynthia Douglas Lewis | Chiropractor | 24945 Us 19 N, Clearwater, FL 33763 | 2006-08-15 |
| 1285641084 | David P Crowley | Chiropractor | 24945 Us Hwy 19 N, Clearwater, FL 33763 | 2006-08-02 |
| Find all providers in zip 33763 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| 1073878286 | Clearwater Dermatologic & Aesthetic Institute Pa | Dermatology | 1801 N. Belcher Road, Suite B, Clearwater, FL 33765-1452 | 2012-07-13 |
| 1356588974 | Rachel Erin Epstein | Dermatology | 2454 N Mcmullen Booth Rd Ste 424, Clearwater, FL 33759-1339 | 2009-01-20 |
| 1982895298 | Maria E Garcia-cardona | Dermatology | 26344 Us Highway 19 N, Clearwater, FL 33761-4505 | 2007-08-05 |
| 1134135965 | Sam Stieglitz Mdpa | Dermatology | 1305 South Fort Harrison Ave, Bldg A, Clearwater, FL 33756-3301 | 2006-08-01 |
| 1669423166 | Kathy L Anderson | Dermatology | 510 Druid Rd E, Clearwater, FL 33756-3950 | 2006-05-12 |
| 1285610972 | David Harris Nathan | Dermatology | 1016 Ponce De Leon Blvd, Suite 7, Clearwater, FL 33756-1073 | 2005-12-15 |
| 1487654042 | Kg Health Partners, Inc | Dermatology | 13600 Icot Blvd, Clearwater, FL 33760-3703 | 2005-07-26 |
| 1942203880 | Daniel L Akins | Dermatology | 1201 S Myrtle Ave, Clearwater, FL 33756-3424 | 2005-05-24 |
| 1053853044 | Community Health Solutions of America Pso, LLC | Dermatology | 13600 Icot Blvd Bldg B, Clearwater, FL 33760-3703 | 2016-11-08 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33763 |
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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.