MR. MARK VINCENT WALTER (NPI# 1124247721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124247721 |
| Entity Type | Individual |
| Full Name | MR. MARK VINCENT WALTER |
| Credential | M.D. |
| Practice Address |
2365 S Tamiami Trl Sarasota FL 34239-3808 |
| Mailing Address |
15 Paradise Plz Suite 300 Sarasota FL 34239-6905 |
| Practice Telephone | 9419554325 |
| Practice Fax Number | 9419554395 |
| Mailing Telephone | 9419554325 |
| Mailing Fax Number | 9419554395 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
75251 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619939543 | Mark Eugene Walter | Chiropractor | 1124 Glenlivet Dr, Allentown, PA 18106-3104 | 2006-04-05 |
| 1619001922 | Mark Steven Walter | Pharmacist | 7107 Charleston Highway, Bowman, SC 29018 | 2007-03-16 |
| 1205910643 | Mark W Walter | Psychiatry & Neurology | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-10-24 |
| Street Address |
2365 S TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215156724 | Advanced Healing Arts | Preventive Medicine | 2365 S Tamiami Trl, Sarasota, FL 34239-3808 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174745806 | Sports Rehabilitation & Physical Medicine Specialists, Inc | Preventive Medicine | 7147 Curtiss Ave, Sarasota, FL 34231-8012 | 2007-05-03 |
| 1215156724 | Advanced Healing Arts | Preventive Medicine | 2365 S Tamiami Trl, Sarasota, FL 34239-3808 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020366 | Eric Peter Reigelsberger | Preventive Medicine | 4657 Main St, Jupiter, FL 33458-5203 | 2019-12-13 |
| 1518484245 | Chad Edwin Jackson | Preventive Medicine | 14110 Six Mile Cypress Pkwy, Fort Myers, FL 33912-4314 | 2017-08-24 |
| 1548896434 | Craig John Robinson Wilder | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2020-03-23 |
| 1265068332 | Rachel Leeann Lewis | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-03-20 |
| 1922513621 | Hayley Elizabeth Betz | Preventive Medicine | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2017-12-05 |
| 1548541998 | Center for Natural Healing and Regenerative Medicine, Inc. | Preventive Medicine | 2825 N State Road 7, 203, Margate, FL 33063-5737 | 2011-08-30 |
| 1407072341 | Tiffany B Jordan | Preventive Medicine | 2235 Venetian Court, Suite 1, Naples, FL 34109-8728 | 2007-04-18 |
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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.