DR. STEPHEN GERARD WALSH (NPI# 1205060217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205060217 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN GERARD WALSH |
| Credential | M.D. |
| Practice Address |
1340 S Damen Ave Suite 400 Chicago IL 60608-1169 |
| Practice Telephone | 7732924800 |
| Practice Fax Number | 3125644059 |
| Mailing Telephone | 7732924800 |
| Mailing Fax Number | 3125644059 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811906829 | Stephen Robert Walsh | Dentist | 1840 Woodmoor Dr, Monument, CO 80132-9091 | 2006-08-07 |
| 1548633886 | Stephen Walsh | Community/Behavioral Health | 2974 E Main Rd, Portsmouth, RI 02871-4232 | 2015-11-09 |
| 1467692806 | Stephen John Walsh | Psychiatry & Neurology | 337 Spruce St, San Francisco, CA 94118 | 2009-02-25 |
| 1386690501 | Stephen M Walsh | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-05-26 |
| 1407828098 | Stephen R Walsh | Internal Medicine | 55 Fruit St, Grj 504, Infectious Disease Unit, Boston, MA 02114-2621 | 2006-02-07 |
| Street Address |
1340 S DAMEN AVE SUITE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998438 | Home Physicians PC | Podiatrist | 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 | 2005-08-04 |
| 1619477965 | David Clayton Walthall | Nurse Practitioner | 1340 S Damen Ave, Chicago, IL 60608-1169 | 2018-02-13 |
| 1649722174 | Sonja Boone | Internal Medicine | 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 | 2016-11-01 |
| 1982093738 | Melissa Louise Hetzel | Registered Nurse | 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 | 2015-01-16 |
| 1265830442 | Thelma Michelle Holt-nicholson | Nurse Practitioner | 1340 S Damen Ave, Chicago, IL 60608-1169 | 2014-12-20 |
| 1043614597 | Kavitha Wagner | Nurse Practitioner | 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 | 2014-10-13 |
| 1982007878 | Christine Agostino | Registered Nurse | 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 | 2014-10-06 |
| 1952703795 | Deborah M Bryant | Registered Nurse | 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 | 2014-09-24 |
| 1851700637 | Chiriss Mcgraw | Nurse Practitioner | 1340 S Damen Ave, Chicago, IL 60608-1169 | 2014-08-06 |
| 1780012245 | Robin Anderson | Nurse Practitioner | 1340 S Damen Ave, Chicago, IL 60608-1169 | 2013-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
| 1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
| 1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
| 1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
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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.