KENNETH PETER WALSH (NPI# 1225458144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225458144 |
| Entity Type | Individual |
| Full Name | KENNETH PETER WALSH |
| Credential | M.D. |
| Practice Address |
27005 76th Ave New Hyde Park NY 11040-1402 |
| Mailing Address |
1 3rd Ave Apt 523 Mineola NY 11501-4340 |
| Practice Telephone | 7184707000 |
| Mailing Telephone | 6314954870 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2019-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
298050 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104832138 | Kenneth A Walsh | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2006-07-31 |
| 1134149370 | Kenneth F Walsh | Chiropractor | 111 N 2nd St, Bellevue, IA 52031-1227 | 2006-07-20 |
| Street Address |
27005 76TH AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950817 | Maria C Adragna | Anesthesiology | 27005 76th Ave, New Hyde Park, NY 11040-1433 | 2005-05-31 |
| 1730789538 | Daniela Farzadfar | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-29 |
| 1669072096 | Barbara Barsoum | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-26 |
| 1962000547 | Dana Rucco | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-10-15 |
| 1407454200 | Jessica Marie Maas | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-14 |
| 1407463318 | Lori Ohanesian | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-24 |
| 1063029106 | Nicole Mulvey | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-23 |
| 1528674314 | William Christopher Arthur | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-17 |
| 1508470238 | Kiara Goldwag | Registered Nurse | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-01 |
| 1710590948 | Laura Calcagni | Nurse Practitioner | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952698847 | Yana Etkin | Surgery | 1999 Marcus Ave Ste 106b, New Hyde Park, NY 11042-1028 | 2011-06-30 |
| 1336209477 | Mark Kissin | Surgery | Lijmc Dept. of Surgery Vascular Surgery, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1174694574 | Jon Cohen | Surgery | Lijmc-dept of Surgery, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-10 |
| 1649537374 | Jennifer Sooyon Chang | Surgery | 27005 76th Ave, Dept. of Surgery, New Hyde Park, NY 11040-1402 | 2012-04-19 |
| 1144538331 | North Shore Vascular and Endovascular Pllc | Surgery | 2001 Marcus Ave, Suite S50, New Hyde Park, NY 11042-1011 | 2010-09-22 |
| 1710212774 | North Shore Vein PC | Surgery | 1 Hollow Ln, Suite 208, New Hyde Park, NY 11042-1215 | 2009-10-08 |
| 1275708711 | Aleksandra Policha | Surgery | 1999 Marcus Ave, Suite 106 B, New Hyde Park, NY 11042-1033 | 2008-04-25 |
| 1649358987 | William Doscher | Surgery | 2001 Marcus Ave, Suite S50, New Hyde Park, NY 11042-1011 | 2006-11-02 |
| 1053499392 | Omid Rahmani | Surgery | 2001 Marcus Ave, Suite S50, New Hyde Park, NY 11042-1011 | 2006-11-02 |
| 1497833743 | Vascular Associates of Long Island | Surgery | 2001 Marcus Ave, Suite S50, New Hyde Park, NY 11042-1011 | 2006-11-02 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on KENNETH PETER WALSH.
| 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.