MR. SCOTT R WALTERS


Address: 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813
Phone: 5854735950

MR. SCOTT R WALTERS (NPI# 1295365120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295365120
Entity Type Individual
Full Name MR. SCOTT R WALTERS
Credential CPED
Practice Address 3385 Brighton Henrietta Town Line Rd
Rochester
NY 14623-2813
Mailing Address 1993 Kendall Rd
Kendall
NY 14476-9776
Practice Telephone 5854735950
Practice Fax Number 5854739596
Mailing Telephone 8107301942
Enumeration Date 2020-01-20
Last Update Date 2020-01-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224L00000X Pedorthist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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1457668733 Scott Louis Walters Physician Assistant 559 W Germantown Pike, East Norriton, PA 19403-4250 2010-09-08
1104941277 Scott William Walters Pediatrics 200 Patewood Dr, Suite A115, Greenville, SC 29615-3593 2007-03-20
1649381906 Scott M. Walters Optometrist 1022 Nw 6th St, Grants Pass, OR 97526-1114 2006-08-31

Office Location

Street Address 3385 BRIGHTON HENRIETTA TOWN LINE RD
City ROCHESTER
State NY
Zip Code 14623-2813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316013667 The Foot Performance Center, Inc. Durable Medical Equipment & Medical Supplies 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 2006-11-28
1427191840 Carol A Gambell Orthotist 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 2007-02-15
1245306679 Christopher James Costantini Orthotist 3385 Brighton Henrietta Town Line Rd, The Foot Performance Center, Rochester, NY 14623-2813 2006-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235637141 Cornerstone Dental of Henrietta Dentist 2104 E. Henrietta Road, Rochester, NY 14623 2018-01-25
1770019713 Brenna Cavanaugh Psychologist 200 East River Rd., Rochester, NY 14623 2017-05-11
1932649522 Annette F. Cranker Registered Nurse 100 Groton Parkway, Rochester, NY 14623 2017-03-01
1588049258 Lisa Parnell Nurse Practitioner 200 East River Road, Rochester, NY 14623 2015-07-23
1811371610 Deanna Phoenix Pharmacist Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 2015-07-13
1518340801 Erin Wong Counselor 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 2015-07-04
1427437490 Sarah Beren Counselor 115 Metro Park, Rochester, NY 14623 2015-05-23
1346628930 Bohdan Klymochko Family Medicine 1300 Jefferson Rd Ste 100, Rochester, NY 14623 2015-05-14
1306242763 Rochester Institute of Technology Psychiatric Unit 1 Lomb Memorial Drive, Rochester, NY 14623 2014-11-13
1972904423 Jonathan Bloom Urology 400 White Spruce Blvd Ste B, Rochester, NY 14623 2014-09-15
Find all providers in zip 14623

Taxonomy Information

Taxonomy Code 224L00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Pedorthist

Taxonomy Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609935527 David Charles Cardillo Pedorthist 3385 Brighton Henrietta Town Line Rd., Rochester, NY 14623-2813 2006-12-06
1801393830 Shawn Marie Williams Pedorthist 1900 Clinton Ave S Ste 5, Rochester, NY 14618-5621 2018-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043751514 Young Song Pedorthist 14431 41st Ave Ste L6, Flushing, NY 11355-1452 2017-03-16
1811345101 Bisyata Dishmaya Management Services Inc Pedorthist 910 46th Street, Brooklyn, NY 11219 2016-05-27
1114352531 Joseph Anthony Coletta Pedorthist 435a Albany Shaker Rd, Loudonville, NY 12211-1815 2013-09-04
1851543284 Neptune Medical & Surgical Supply, Inc. Pedorthist 1048-1050 Oceanview Ave, Neptune Medical & Surgical Supply, Inc., Brooklyn, NY 11235-5441 2008-10-16
1629089016 Dme Certified Supplies, Inc. Pedorthist 4621 7th Avenue, Brooklyn, NY 11220-6520 2006-08-10
1699372409 Netanel Shimonov Pedorthist 1353 45th St, Brooklyn, NY 11219-2102 2020-10-05
1912519406 Betzalel Shimonov Pedorthist 1353 45th St, Brooklyn, NY 11219-2102 2020-08-18
1194286963 Stuart Mandel Pedorthist 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 2019-03-26
1760947568 Zachary Michael Richard Oneal Pedorthist 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 2019-02-05
1992287387 Betha Hunnicutt Ertzberger Pedorthist 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 2018-08-31
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Competitor

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City ROCHESTER
Zip Code 14623

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Dataset Information

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.

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