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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144230574 | Scott Allen Walters | Dentist | 2025 Meadowview Pkwy, Ste 101, Kingsport, TN 37660-7386 | 2006-08-08 |
1306494083 | Scott William Walters | Counselor | 14715 Bel-red Rd, Ste 102, Bellevue, WA 98007-3940 | 2019-08-27 |
1982266581 | Scott Walters | Chiropractor | 17280 Cherrywood Ct Unit 6002, Bonita Springs, FL 34135-8957 | 2019-07-03 |
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 |
Street Address |
3385 BRIGHTON HENRIETTA TOWN LINE RD |
City | ROCHESTER |
State | NY |
Zip Code | 14623-2813 |
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 |
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 Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
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. |
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 |
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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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.