DR. KEVIN CRAIG WALTERS (NPI# 1235276700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235276700 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CRAIG WALTERS |
| Credential | MD |
| Practice Address |
2400 Lancaster Dr Ne Salem OR 97305-1221 |
| Practice Telephone | 5033149397 |
| Practice Fax Number | 5038251595 |
| Mailing Telephone | 5033614836 |
| Mailing Fax Number | 5033755738 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
MD25772 | OR | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
MD25772 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650262 | Kevin John Walters | Licensed Practical Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-06 |
| 1528504800 | Kevin Walters | Counselor | 200 N Anderson Ln, Lindon, UT 84042-1110 | 2017-01-11 |
| 1932426376 | Kevin C Walters | Emergency Medicine | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2010-04-26 |
| 1770524035 | Kevin L Walters | Family Medicine | 4 Deerwood Ave Nw, Tri-county Health Care Wadena Clinic, Wadena, MN 56482-1296 | 2006-06-09 |
| 1134124985 | Kevin Lee Walters | Physical Therapist | 809 W Harwood Rd, Ste 103, Hurst, TX 76054-3289 | 2005-06-17 |
| Street Address |
2400 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
| 1629608070 | Lisa Renea Carr | Dental Assistant | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2020-01-23 |
| 1316594989 | Marisa Hopkins | Social Worker | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2019-08-19 |
| 1346715836 | Stephen Kuang | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2018-10-10 |
| 1679003313 | Christina Nguyen | Optometrist | 2400 Lancaster Dr Ne, Salem, OR 97305 | 2017-06-15 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1518419464 | Kaiser Foundation Health Plan of The Northwest | General Practice | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-26 |
| 1083166029 | Alison J Green | Nurse Practitioner | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-25 |
| 1588119515 | Eloisa Chaudhary | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-08-19 |
| 1598117269 | Nathan Howell | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962488478 | Louis Castern | Preventive Medicine | 2155 Apperson Dr, Salem, VA 24153-7235 | 2005-12-16 |
| 1205997384 | Gerard Deguzman | Preventive Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-12-13 |
| 1376650283 | Robert Maurice Ingle Jr. | Preventive Medicine | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942698154 | Samaritan North Lincoln Hospital | Preventive Medicine | 2930 Ne West Devils Lake Rd Ste 3, Lincoln City, OR 97367-5195 | 2014-12-23 |
| 1831348614 | Phillip Maurice Hutchins | Preventive Medicine | 78068 Ordnance Rd, Hermiston, OR 97838-9107 | 2008-09-16 |
| 1730205725 | Tamara X Arthur | Preventive Medicine | 1919 Nw Lovejoy St, Portland, OR 97209-1503 | 2007-03-21 |
| 1659411379 | Anita Joan Dekker | Preventive Medicine | 3469 Hilyard St, Eugene, OR 97405-3815 | 2007-02-08 |
| 1093741803 | Charles L. Pederson | Preventive Medicine | 1100 7th Ave Sw, Albany, OR 97321-1925 | 2006-06-23 |
| 1457337156 | Lori Lynn Gross | Preventive Medicine | 25 Nw 23rd Pl, Suite 6, #324, Portland, OR 97210-5580 | 2005-12-15 |
| 1275864662 | Charles Kirby Griffin | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 200, Portland, OR 97223-5442 | 2010-01-25 |
| 1396920609 | Leslie Davidoff | Preventive Medicine | 1881 Nw 185th Ave, Suite 204, Aloha, OR 97006-6822 | 2008-01-04 |
| 1023293339 | Milton J Gavlick | Preventive Medicine | 1750 Nw Naito Pkwy, Suite 100b, Portland, OR 97209-2530 | 2008-01-04 |
| 1306038427 | Ajay Jagarnath Mohabeer | Preventive Medicine | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2007-08-13 |
| Find all providers with the same taxonomy | ||||
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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.