DR. JOHN ROBERT WALTERS (NPI# 1164405783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164405783 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT WALTERS |
| Credential | MD |
| Practice Address |
1750 Mcgilchrist St Se Ste 130 Salem OR 97302-1691 |
| Mailing Address |
107 E Mountain View Ave Ellensburg WA 98926-5312 |
| Practice Telephone | 9713042200 |
| Mailing Telephone | 5099626348 |
| Mailing Fax Number | 5099628702 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD199938 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437596590 | John Ross Walters | Specialist/Technologist | 313 Fountain St, Akron, OH 44306-1014 | 2013-05-30 |
| 1114065638 | John Walters | Specialist/Technologist | 2346 Westbank Rd, Toledo, OH 43614-3174 | 2007-02-05 |
| 1326073339 | John F Walters | Emergency Medicine | 730 Stony Landing Road, Moncks Corner, SC 29461 | 2006-07-11 |
| 1932488426 | John L Walters | Social Worker | 134 W 1180 N, Suite 4, Tooele, UT 84074-1483 | 2011-08-15 |
| 1144480294 | John Sexton Walters | Acupuncturist | 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425-1514 | 2008-06-12 |
| 1316157191 | John Brandon Walters | Family Medicine | 29101 Health Campus Dr, Suite 400, Westlake, OH 44145-5270 | 2007-05-23 |
| 1427266337 | John F Walters | Counselor | Rr 1 Box 75, New Albany, PA 18833-9730 | 2007-05-21 |
| 1124169511 | John R Walters | Ophthalmology | 340 W Butler St, Lexington, SC 29072-2606 | 2007-02-09 |
| 1194809897 | John Douglas Walters | Dentist | 305 W 12th Ave, Dental Faculty Practice Association Inc, Columbus, OH 43210-1267 | 2006-10-25 |
| 1427132976 | John M Walters | Social Worker | 2097 Henry Tecklenburg Dr Ste 211w, Charleston, SC 29414-5739 | 2006-10-24 |
| Street Address |
1750 MCGILCHRIST ST SE STE 130 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386294155 | Letitia Cecelia Adams | Technician/Technologist | 1750 Mcgilchrist St Se Ste 130, Salem, OR 97302-1691 | 2019-09-13 |
| 1033762240 | Kristie Lyn Brock | Physical Medicine & Rehabilitation | 1750 Mcgilchrist St Se Ste 130, Salem, OR 97302-1691 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373444 | Larry Bassinger | Family Medicine | 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 | 2015-04-09 |
| 1396144507 | Constance Johanson | Family Medicine | 3959 Croisan Creek Rd S, Salem, OR 97302-9474 | 2014-08-14 |
| 1457792699 | Sultan Seretis Bussey Hospitalist LLC | Family Medicine | 310 Route 45, Salem, NJ 08079-2064 | 2013-07-16 |
| 1629338470 | Derek Koller | Family Medicine | 6861 Lemongrass Loop Se, Salem, OR 97306-1474 | 2012-05-25 |
| 1962712927 | Paul Julian Perrin | Family Medicine | 525 Ferry St Se, Suite 203, Salem, OR 97301 | 2010-10-08 |
| 1326372558 | Robert Verne Bain | Family Medicine | 2280 Kuebler Road, South, Salem, OR 97302 | 2009-09-21 |
| 1902036320 | James A. Auerbach, M.d., P.C. | Family Medicine | 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 | 2009-07-20 |
| 1033347430 | Jeanette Walker | Family Medicine | 5560 Witzel Rd Se, Salem, OR 97317-9142 | 2009-06-24 |
| 1871747188 | Carmelle Marie Andrine Constant | Family Medicine | 84 Highland Ave Ste 309, Salem, MA 01970-2733 | 2008-11-13 |
| 1518127927 | Mazen I Madhoun | Family Medicine | 3737 W Main St Ste 101, Salem, VA 24153-2073 | 2008-06-10 |
| Find all providers in SALEM | ||||
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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.