MR. WALTER JOHN KRUG (NPI# 1225153158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225153158 |
| Entity Type | Individual |
| Full Name | MR. WALTER JOHN KRUG |
| Credential | M.A. |
| Practice Address |
3311 Burnt Mill Dr Wilmington NC 28403-2654 |
| Mailing Address |
4145 Spirea Dr Apt C Wilmington NC 28403 |
| Practice Telephone | 9102515817 |
| Practice Fax Number | 9102512652 |
| Mailing Telephone | 9103926148 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
0590 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3311 BURNT MILL DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309989 | Roxanne S. Devane | Nurse Practitioner | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2005-10-13 |
| 1760924021 | Mary Mcghan | Registered Nurse | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-11-17 |
| 1952762098 | Michelle Willis | Occupational Therapist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-03-17 |
| 1306186218 | Julie Kuetemeyer | Audiologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2013-03-01 |
| 1538335526 | Sarah Puwalowski | Psychologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2008-04-30 |
| 1710106034 | Carrie Rowley | Audiologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-04-25 |
| 1063637411 | State of Nc Division of Health Services | Clinic/Center | 3311 Burnt Mill Dr, Suite 100, Wilmington, NC 28403-2654 | 2007-04-13 |
| 1811013899 | Sarah Rebecca Verrone | Speech-Language Pathologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-03-22 |
| 1033258793 | Gail Marcus | Genetic Counselor, MS | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2007-02-06 |
| 1366528473 | Sarah Richardson Bentzler | Psychologist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225155005 | Glenna Janette Wellman | Psychologist | 503 Covil Ave Ste 100, Wilmington, NC 28403-2683 | 2007-03-25 |
| 1518036342 | Opportunity Center Inc | Psychologist | 3030 Bowers Street, Wilmington, DE 19802 | 2006-11-07 |
| 1265868103 | Olive Pope Hollinger | Psychologist | 503 Covil Ave, Suite 100, Wilmington, NC 28403-2684 | 2013-09-24 |
| 1538392477 | Horizon House Delaware Inc | Psychologist | 3120 Naamans Rd, Wilmington, DE 19810-2139 | 2009-08-26 |
| 1679704746 | Connections Csp, Inc. | Psychologist | 500 W 10th St, Wilmington, DE 19801-1422 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416528 | Robert Allen Miller | Psychologist | 718 Chalice St, Durham, NC 27705-1717 | 2014-07-27 |
| 1669810172 | J-1 Consultants LLC | Psychologist | 2801 Gaya Ct, Hillsborough, NC 27278-7364 | 2013-06-06 |
| 1396183802 | J-1 Consultants LLC | Psychologist | 1744 Coleman Loop Rd, Hillsborough, NC 27278-9286 | 2013-06-06 |
| 1063850675 | J-1 Consultants LLC | Psychologist | 410 Millstone Dr Ste D, Hillsborough, NC 27278-9047 | 2013-06-06 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1407293194 | J-1 Consultants | Psychologist | 101 Harambee Dr, Efland, NC 27243-9589 | 2013-06-04 |
| 1558708255 | J-1 Consultants LLC | Psychologist | 845 Nelson Loop Rd, Roxboro, NC 27574-7280 | 2013-06-04 |
| 1962740860 | Jennifer Paige Roberts | Psychologist | 4109 Converse Dr, Raleigh, NC 27609-5933 | 2013-01-28 |
| 1447529466 | Jacynthia Swann | Psychologist | 405 Morson St Ste A, Raleigh, NC 27601-1559 | 2011-12-20 |
| 1609172121 | Tamara Puddy | Psychologist | 415 Ansley St, Rocky Mount, NC 27803-2104 | 2011-01-31 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.