DR. SCOTT DANIEL WALTER (NPI# 1205127818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205127818 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DANIEL WALTER |
| Credential | M.D. |
| Practice Address |
191 Main St Ste 3 Manchester CT 06042-3574 |
| Practice Telephone | 8606467704 |
| Practice Fax Number | 8606477340 |
| Mailing Telephone | 8606467704 |
| Mailing Fax Number | 8606477340 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
56701 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770813842 | Scott Walter | Chiropractor | 17578 Haralson Dr, Eden Prairie, MN 55347-3535 | 2010-01-12 |
| 1609293067 | Scott Alan Walter | Dermatology | 5340 S Quebec St Ste 300, Greenwood Village, CO 80111-1909 | 2014-03-24 |
| Street Address |
191 MAIN ST STE 3 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914699 | Refocus Eye Health of Connecticut PC | Ophthalmology | 57 North St Ste 415, Danbury, CT 06810-5629 | 2018-12-27 |
| 1316329733 | Retina Group of New England PC | Ophthalmology | 174 Cross Rd, Waterford, CT 06385-1215 | 2015-06-22 |
| 1861806002 | Neil Sameer Kalbag | Ophthalmology | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2014-06-16 |
| City | MANCHESTER |
| Zip Code | 06042 |
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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.