GREGORY WALTON (NPI# 1295149912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295149912 |
| Entity Type | Individual |
| Full Name | GREGORY WALTON |
| Practice Address |
Hospital Dentistry Westchester Hall Rm. 151 Stony Brook NY 11794-8711 |
| Mailing Address |
345 Lingering Ln Henderson NV 89012-3263 |
| Practice Telephone | 6314442557 |
| Practice Fax Number | 6314446013 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2017-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
33390 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871881375 | Gregory Dean Walton | Nurse Anesthetist, Certified Registered | 801 Pole Line Road West, Twin Falls, ID 83301-5799 | 2011-07-18 |
| 1750316949 | Gregory F Walton | Surgery | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2006-07-12 |
| 1700884152 | Gregory Walton | Radiology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-07-11 |
| Street Address |
HOSPITAL DENTISTRY WESTCHESTER HALL RM. 151 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215428677 | Allison Yukyung Lee | Student in an Organized Health Care Education/Training Program | Hospital Dentistry, 151 Westchester Hall, Stony Brook, NY 11704-8711 | 2018-05-22 |
| 1306217716 | Shikha Kanotra | Student in an Organized Health Care Education/Training Program | Hospital Dentistry, Westchester Hall Room 151, Stony Brook, NY 11794-8711 | 2015-10-12 |
| 1821432527 | Timothy Jeffrey Daws | Student in an Organized Health Care Education/Training Program | Hospital Dentistry, Westchester Hall, Room 151, Stony Brook, NY 11794-8711 | 2013-04-24 |
| 1811230576 | Inessa Safarov | Student in an Organized Health Care Education/Training Program | Hospital Dentistry, Westchester Hall, Room 151, Stony Brook, NY 11794-8711 | 2013-04-01 |
| 1447593280 | Insun Yoon | Student in an Organized Health Care Education/Training Program | Hospital Dentistry, Westchester Hall Room 151, Stony Brook, NY 11794-0001 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299798 | Battery Park Pediatric Dentistry Pllc | Dentist | 200 E 36th St Ste Ps1, New York, NY 10016-3667 | 2019-11-11 |
| 1437509841 | Dental Anesthesia of New York, LLC | Dentist | 410 W 53rd St Apt 126, New York, NY 10019-5693 | 2016-06-16 |
| 1801139662 | Brandon Michael Fitzgerald | Dentist | 625 W 57th St, Apt 463, New York, NY 10019-2937 | 2013-03-30 |
| 1902119001 | Mana Saraghi | Dentist | 7 Woodfern Ct, Dix Hills, NY 11746 | 2010-07-17 |
| 1750414744 | Ralph Harris Epstein | Dentist | 173 East Shore Road, Suite 201, Great Neck, NY 11023 | 2007-03-13 |
| 1538667548 | Touro College | Dentist | 19 Skyline Dr, Hawthorne, NY 10532-2134 | 2018-01-24 |
| 1457869224 | Ticonderoga Dental Plaza, PC | Dentist | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2018-01-16 |
| 1992232441 | Nicholas S Katchen Dds PC | Dentist | 155 E Main St, Port Jervis, NY 12771-2113 | 2017-05-16 |
| 1366891053 | Ari Gitlin Dds PC | Dentist | 99 Hicksville Rd, Bethpage, NY 11714-3445 | 2016-06-03 |
| 1023479359 | Advanced Dental Anesthesia Services | Dentist | 111 Route 303, Suite 220, Tappan, NY 10983-2133 | 2016-03-15 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.