BREANNA LEAH WALKER (NPI# 1174843635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174843635 |
| Entity Type | Individual |
| Full Name | BREANNA LEAH WALKER |
| Credential | MD |
| Practice Address |
2000 Lake Ave Woodstock IL 60098-7401 |
| Practice Telephone | 8153377100 |
| Practice Fax Number | 8153374793 |
| Mailing Telephone | 8153377100 |
| Mailing Fax Number | 8153374793 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2014-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-134160 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116022425 | VA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184081853 | Breanna Walker | Case Manager/Care Coordinator | 1644 B Carter Street, Vidalia, LA 71373 | 2016-01-26 |
| 1619532868 | Breanna Blakley Walker | Physician Assistant | 650 Julian Rd, Salisbury, NC 28147-9078 | 2019-05-03 |
| Street Address |
2000 LAKE AVE |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389953 | Anil K Khemani | Internal Medicine | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2005-07-12 |
| 1497373286 | Michelle T Gahgan | Nurse Practitioner | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2020-07-08 |
| 1417456476 | Matthew R. Banks | Physical Therapy Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2018-02-06 |
| 1801247176 | Guoqing Song | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2016-06-28 |
| 1114398930 | Norman J Mecwan | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2015-10-20 |
| 1669883971 | Jenna M Raju | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-05-09 |
| 1508281114 | Lawrence Thomas Walsh Jr. | Pharmacist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-02-19 |
| 1548696404 | Laura Lynn Dickman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-09-23 |
| 1922346220 | Naomi M Tamparong | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-01-21 |
| 1649523838 | Kelly Marie Winkelman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235374331 | Femina Healthcare LLC | Obstetrics & Gynecology | 3229 S Cherokee Ln Bldg 1400, Woodstock, GA 30188-4461 | 2008-12-04 |
| 1043474703 | Darby Ellen Murphy | Obstetrics & Gynecology | 3707 Doty Rd Ste B, Woodstock, IL 60098 | 2008-07-11 |
| 1871785493 | Elijah Nicholas Gilbert | Obstetrics & Gynecology | 120 Stonebridge Pkwy Ste 210, Woodstock, GA 30189-3768 | 2007-08-16 |
| 1780670554 | Angela Faye Falany | Obstetrics & Gynecology | 900 Towne Lake Pkwy, Ste 404, Woodstock, GA 30188 | 2005-09-27 |
| 1033105440 | Michael Andrew Hulse | Obstetrics & Gynecology | 900 Towne Lake Pkwy Ste 404, Woodstock, GA 30189-1604 | 2005-09-21 |
| 1922445238 | Esther Dorzin | Obstetrics & Gynecology | 900 Towne Lake Pkwy Ste 404, Woodstock, GA 30189-1604 | 2013-05-28 |
| 1538316435 | Thomas William Scott Md LLC | Obstetrics & Gynecology | 3229 S Cherokee Ln, Building 1400, Woodstock, GA 30188-4461 | 2008-08-21 |
| 1598920423 | Femina Healthcare Inc. | Obstetrics & Gynecology | 3229 S Cherokee Ln, Building 1400, Woodstock, GA 30188-4461 | 2008-07-21 |
| 1568672160 | Farnaz Almas Almasganj | Obstetrics & Gynecology | 2000 Lake Ave, Woodstock, IL 60098 | 2007-05-23 |
| 1558418947 | Ricca Zaino | Obstetrics & Gynecology | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2007-01-05 |
| Find all providers in WOODSTOCK | ||||
Please comment or provide details below to improve the information on BREANNA LEAH WALKER.
| 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.