WALTER MACEDO JR. (NPI# 1154319689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154319689 |
| Entity Type | Individual |
| Full Name | WALTER MACEDO JR. |
| Credential | MD |
| Practice Address |
1600 Lakeland Hills Blvd Lakeland FL 33805 |
| Mailing Address |
Po Box 95004 Lakeland FL 33804-5004 |
| Practice Telephone | 8636807000 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807206 |
| Mailing Fax Number | 8636807420 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
ME0080024 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 260386100 | 05 |
| Street Address |
1600 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940695 | Watson Clinic LLP | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2005-05-31 |
| 1134720261 | Hope Dukes | Family Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-11-04 |
| 1659994259 | Jessica Lynn Garber | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-05-19 |
| 1427681410 | Paula Suryani Wibowo | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2020-02-18 |
| 1932739828 | Ashley Duncan | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-21 |
| 1285273672 | Nicholas Skulimoski | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-02 |
| 1134779812 | Mallory Bastian | Physician Assistant | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-09-16 |
| 1730741356 | Kellie L. Smaidi | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-07-03 |
| 1982265864 | Alexandra Starzhevskiy | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2019-06-22 |
| 1548829666 | Ashley Nicole Craig | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2019-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| 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 Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902913460 | Elaine S Condono | Emergency Medicine | 5538 Vintage View Pass, Lakeland, FL 33812-4061 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224259 | Excalibur Telemedical Services | Emergency Medicine | 405 Waterford Ln, Gulf Breeze, FL 32561-4872 | 2020-04-16 |
| 1225694953 | Good Care Rehab& Wellness Inc | Emergency Medicine | 885 N Powers Dr Ste B, Orlando, FL 32818-6842 | 2019-05-17 |
| 1568994556 | Hillard L Chemers | Emergency Medicine | 16145 Craigend Pl, Odessa, FL 33556-2818 | 2017-03-30 |
| 1790195469 | Albert Carl Maier | Emergency Medicine | 358 County Road 207a, East Palatka, FL 32131-4145 | 2014-05-05 |
| 1710319413 | Holy Cross Hospital, Inc | Emergency Medicine | 1115 S Federal Hwy, Ft Lauderdale, FL 33316-1256 | 2013-08-05 |
| 1790035921 | Elizabeth Hernandez | Emergency Medicine | 17121 Sw 281st St, Homestead, FL 33030-1905 | 2012-09-14 |
| 1821377201 | Urgent Care Physicians of Kendale Lakes LLC | Emergency Medicine | 14661 Sw 56 Street, Miami, FL 33175 | 2011-08-16 |
| 1316231608 | George T Besong Md Ob/gyn LLC | Emergency Medicine | 2728 Enterprise Rd, Suite 200, Orange City, FL 32763-8276 | 2011-06-03 |
| 1265662126 | Quick Care Med LLC | Emergency Medicine | 1907 Highway 44 W, Inverness, FL 34453-3801 | 2009-07-24 |
| 1578705273 | Laurie Ann Romig | Emergency Medicine | 8250 32nd Ave N, St Petersburg, FL 33710-2212 | 2009-03-27 |
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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.