DR. WALTER DAVID HARRIS (NPI# 1205126992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205126992 |
| Entity Type | Individual |
| Full Name | DR. WALTER DAVID HARRIS |
| Credential | M.D. |
| Practice Address |
4485 Furling Ln Destin FL 32541-5331 |
| Practice Telephone | 8506548015 |
| Practice Fax Number | 8506543380 |
| Mailing Telephone | 8506548015 |
| Mailing Fax Number | 8506543380 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME47899 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139574 | Walter Robert Harris | Counselor | 30 Stonecrest Ct, Shelbyville, KY 40065-8128 | 2020-03-16 |
| 1992945430 | Walter Clyde Harris | Physician Assistant | 710 N Euclid St, Suite 201, Anaheim, CA 92801-4115 | 2009-02-24 |
| 1689730905 | Walter Harris | Ophthalmology | 255 S 17th St, Suite 1002, Philadelphia, PA 19103-6231 | 2006-12-29 |
| Street Address |
4485 FURLING LN |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594275 | Destin Surgery Center LLC | Clinic/Center | 4485 Furling Ln, Destin, FL 32541-5331 | 2005-08-09 |
| 1063911196 | William Edelman | Physician Assistant | 4485 Furling Ln, Destin, FL 32541-5331 | 2018-02-05 |
| 1902087281 | Destin Vein Center LLC | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2007-11-15 |
| 1174720874 | Destin Plastic Surgery | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2007-06-27 |
| 1023199312 | Lawrence Scott Ennis | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-10-17 |
| 1417038704 | William R Burden | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-10-17 |
| 1710072400 | Jerolyn R Ashcraft | Registered Nurse | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-10-04 |
| 1376561480 | Sandra A Dulian | Nurse Anesthetist, Certified Registered | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-07-17 |
| 1891720538 | Helena B Grandgenett | Nurse Anesthetist, Certified Registered | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-07-11 |
| 1760413249 | Samuel A Budnyk | Specialist | 4485 Furling Ln, Destin, FL 32541-5331 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285742817 | Gulf Coast Gynecology, Inc. | Obstetrics & Gynecology | 4012 Commons Dr W, Suite 100, Destin, FL 32541-8422 | 2006-08-25 |
| 1962518811 | Ann Thuy Nguyen | Obstetrics & Gynecology | 4012 Commons Dr W, Suite 100, Destin, FL 32541-8422 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
| 1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
| 1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
| 1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
| 1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
| 1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
| 1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
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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.