WALTER PAUL GLEICH (NPI# 1205823440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205823440 |
| Entity Type | Individual |
| Full Name | WALTER PAUL GLEICH |
| Credential | M.D. |
| Practice Address |
360 Sherman St Suite 450 Saint Paul MN 55102-2564 |
| Mailing Address |
2550 University Ave W Suite 240n Saint Paul MN 55114-1052 |
| Practice Telephone | 6519996800 |
| Practice Fax Number | 6519996808 |
| Mailing Telephone | 6519996909 |
| Mailing Fax Number | 6512976115 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 26841 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 390208100 | 05 |
| Street Address |
360 SHERMAN ST SUITE 450 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730614538 | Sara Welch | Specialist/Technologist | 360 Sherman St, Suite 300, Saint Paul, MN 55102-2564 | 2017-04-29 |
| 1679016497 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 360 Sherman St, Suite 100, Saint Paul, MN 55102-2564 | 2016-11-28 |
| 1346693934 | Jenna Schoenrock | Occupational Therapist | 360 Sherman St, Saint Paul, MN 55102-2564 | 2016-07-19 |
| 1205200383 | Child Neurology Solutions Pllc | Psychiatry & Neurology | 360 Sherman St, Suite 399, Fort Road Medical Center, Saint Paul, MN 55102-2564 | 2015-11-30 |
| 1619354305 | Bobbi Jo Mugaas | Orthotist | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2015-05-01 |
| 1295172914 | Stacey Marie Desouza | Occupational Therapist | 360 Sherman St, 470, Saint Paul, MN 55102-2564 | 2013-06-04 |
| 1104163187 | Westlake Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2013-01-10 |
| 1841552296 | Terese Marie Amble | Psychologist | 360 Sherman St, Suite 200, Saint Paul, MN 55102-2564 | 2012-06-12 |
| 1124309372 | Jennifer K Nelson | Physician Assistant | 360 Sherman St, Suite 250, Saint Paul, MN 55102-2564 | 2011-09-01 |
| 1467762823 | Leah Ann Amundson | Physical Therapist | 360 Sherman St, Saint Paul, MN 55102-2564 | 2010-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915346 | Colby Adams Dixon | Urology | 435 Phalen Blvd, Mail Stop 51103c, Saint Paul, MN 55130-5302 | 2014-05-20 |
| 1457779555 | Jesse Jacobs | Urology | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2014-04-04 |
| 1659695310 | Garjae Dayan Lavien | Urology | 435 Phalen Blvd, Mail Stop 51103c, Saint Paul, MN 55130 | 2010-03-23 |
| 1043403363 | Joshua Lane Woelk | Urology | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2007-08-21 |
| 1033107404 | Michael Howard Wipf | Urology | 360 Sherman St, Suite 400, Saint Paul, MN 55102-2564 | 2005-10-11 |
| 1205823200 | Michael Lee Pergament | Urology | 360 Sherman St, Suite 400, Saint Paul, MN 55102-2564 | 2005-10-04 |
| 1881681815 | Andrew John Portis | Urology | 360 Sherman St, Suite 400, Saint Paul, MN 55102-2564 | 2005-10-04 |
| 1104813138 | Peter Donald Sershon | Urology | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 | 2005-10-04 |
| 1245227453 | Robert David Fisher | Urology | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 | 2005-10-03 |
| 1467449678 | Cesar Juan Jose Ercole | Urology | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 | 2005-10-03 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on WALTER PAUL GLEICH.
| 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.