STEPHANIE PRATER WALTON (NPI# 1194140772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194140772 |
Entity Type | Individual |
Full Name | STEPHANIE PRATER WALTON |
Credential | M.D. |
Practice Address |
14607 Woodlake Trce Louisville KY 40245-5134 |
Practice Telephone | 5024197136 |
Mailing Telephone | 5024197136 |
Enumeration Date | 2014-02-19 |
Last Update Date | 2014-02-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
28072 | KY | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
28072 | KY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548602832 | Stephanie Walton | Occupational Therapist | 2820 S 80th St, Omaha, NE 68124-3266 | 2013-07-27 |
1962905976 | Stephanie Walton | Speech-Language Pathologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2018-03-15 |
1124158142 | Stephanie Walton | Physical Therapist | 5246 N Royal Dr, Suite B, Traverse City, MI 49684-6984 | 2007-03-07 |
1972689867 | Stephanie Wagoner Walton | Occupational Therapist | 875 Pennsylvania Ave, Suite A, Bardstown, KY 40004-2529 | 2006-10-31 |
1558313312 | Stephanie Anne Walton | Pediatrics | 7237 E Southgate Dr, Suite A, Sacramento, CA 95823-2637 | 2006-05-17 |
Street Address |
14607 WOODLAKE TRCE |
City | LOUISVILLE |
State | KY |
Zip Code | 40245-5134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
Find all providers in zip 40245 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538600630 | Cleanslate Medical Group of Kentucky Pllc | Internal Medicine | 210 E Gray St Ste 803, Louisville, KY 40202-3904 | 2017-03-09 |
1083093207 | Mat Prac Group, LLC | Internal Medicine | 204 S Floyd St, Box 8, Louisville, KY 40202-1208 | 2015-05-20 |
1376547711 | Irwin Randell Cohen | Internal Medicine | 4006 Dutchmans Ln, Suite 100, Louisville, KY 40207-4704 | 2005-06-13 |
1831388073 | Jonathan D Kunis | Internal Medicine | 10101 Linn Station Rd Ste 600, Louisville, KY 40223-3818 | 2007-10-23 |
1497973366 | Robert Joseph Middleton | Internal Medicine | 2100 Gardiner Ln, Ste 217a, Louisville, KY 40205-2962 | 2007-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326671637 | Discover Recovery, LLC | Internal Medicine | 2413 Ring Rd Ste 122, Elizabethtown, KY 42701-5936 | 2020-02-14 |
1033618897 | Lotus Rehab LLC | Internal Medicine | 104 Hardin Ln Ste B, Somerset, KY 42503-3800 | 2018-02-07 |
1396265989 | Kentucky Ohanna Initiative, Inc | Internal Medicine | 1795 Alysheba Way Ste 1001, Lexington, KY 40509-2282 | 2017-06-23 |
1457580003 | Thomas William Howard, IIi | Internal Medicine | 135 E Maxwell St Ste 401, Lexington, KY 40508-2617 | 2009-07-03 |
1477562536 | Sanjiv Gupta M.d. P.s.c. | Internal Medicine | 300 St Hwy 1947, Suite A, Grayson, KY 41143-1947 | 2006-08-07 |
1578533766 | Marvin A Bishop | Internal Medicine | 218 S Maple St, Winchester, KY 40391-2494 | 2006-01-23 |
1700870078 | Joanna L Santiesteban | Internal Medicine | 842 E Mountain Pkwy, Salyersville, KY 41465 | 2005-09-01 |
1184221038 | Compass Investments, LLC | Internal Medicine | 1616 Harrodsburg Rd, Lexington, KY 40504-3706 | 2020-10-05 |
1447793872 | Jessica Michelle Marshal | Internal Medicine | 1740 Nicholasville Rd, 4th Floor, Lexington, KY 40503-1431 | 2016-12-03 |
1477915056 | Anna Maria South | Internal Medicine | 800 Rose St, Lexington, KY 40536-0001 | 2016-03-23 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40245 |
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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.