NEPHI A WALTON (NPI# 1265797617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265797617 |
| Entity Type | Individual |
| Full Name | NEPHI A WALTON |
| Credential | M.D. |
| Practice Address |
190 Welles St. Ste.128 Forty Fort PA 18704-3859 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5707146420 |
| Mailing Telephone | (570) 271-6144 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD462049 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2012018921 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| One Children's Place, 3s34, St Louis, MO 63110 | 3144546006 | 3144544102 |
| Street Address |
190 WELLES ST. STE.128 |
| City | FORTY FORT |
| State | PA |
| Zip Code | 18704-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973927 | Geisinger Clinic | Medical Genetics | 15 Wesner Ln Fl 1, Danville, PA 17821-8023 | 2020-05-07 |
| 1376163014 | Geisinger Clinic | Medical Genetics | 3 Wesner Lane, 1st Floor, Danville, PA 17821 | 2020-04-23 |
| 1922317759 | Mindy Li | Medical Genetics | 3615 Civic Center Blvd, Children's Hosp of Philadelphia, Room 1002 Abramson Res. Bldg, Dept of Medical Genetics, Philadelphia, PA 19104-4399 | 2010-09-28 |
| 1083857858 | Reena Natwarlal Jethva | Medical Genetics | 3601 A Street, 3rd Floor Acp, Suite 3314, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1095 | 2009-04-09 |
| 1043468846 | John Francis Turocy | Medical Genetics | 300 Halket St Ste 1651, Magee Womens Hospital, Department of Medical Genetics, Pittsburgh, PA 15213-3108 | 2008-09-04 |
| 1649324955 | Ghodrat P Sholevar | Medical Genetics | 618 W Lehigh Ave, Philadelphia, PA 19133 | 2007-01-23 |
| 1336218973 | Devereux N. Saller | Medical Genetics | 300 Halket St Ste 610, Pittsburgh, PA 15213-3108 | 2006-11-07 |
| 1699878678 | Adele Schneider | Medical Genetics | 840 Walnut St Ste 1210, Philadelphia, PA 19107-5109 | 2006-09-06 |
| 1871139691 | Stc Opco LLC | Medical Genetics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1780228296 | Stc Pediatrics LLC | Medical Genetics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | FORTY FORT |
| Zip Code | 18704 |
Please comment or provide details below to improve the information on NEPHI A WALTON.
| 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.