WILLIAM D WALTERS (NPI# 1366491631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366491631 |
| Entity Type | Individual |
| Full Name | WILLIAM D WALTERS |
| Credential | MD |
| Practice Address |
2040 Hutton Rd Suite 102 Kansas City KS 66109-4566 |
| Mailing Address |
2040 Hutton Rd Suite 102 Kansas City KS 66109-4526 |
| Practice Telephone | 9132993700 |
| Practice Fax Number | 9132993050 |
| Mailing Telephone | 9132993700 |
| Mailing Fax Number | 9137213316 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2010-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0419164 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100216770C | 05 | |
| KS | 100328810B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043292162 | William C Walters | Dentist | 7000 Adams St, Ste 140, Willowbrook, IL 60527-7564 | 2005-11-15 |
| 1699772442 | William J Walters | Psychiatry & Neurology | 1179 E Paris Ave Se, Suite 220, Grand Rapids, MI 49546-3682 | 2005-07-07 |
| 1447816715 | William Walters | Physical Therapist | 19129 Willamette Dr, West Linn, OR 97068-2019 | 2019-05-13 |
| 1699263418 | William Dakota Walters | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2018-04-26 |
| 1366800179 | William Walters | Occupational Therapy Assistant | 600 E John Carpenter Fwy, Suite 101, Irving, TX 75062-3990 | 2016-02-08 |
| 1770924441 | William Clay Walters | Counselor | 3205 Clinton Parkway Ct, Lawrence, KS 66047-2627 | 2013-07-10 |
| 1851541957 | William Burton Walters | Audiologist-Hearing Aid Fitter | 1415 Tulane Ave, Ent Clinic (hc-76), New Orleans, LA 70112-2600 | 2008-09-24 |
| 1356462329 | William Walters | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2007-04-03 |
| 1881795326 | William S Walters | Psychologist | 1101 Summit Rd, Cincinnati, OH 45237-2621 | 2006-09-26 |
| 1043232408 | William P. Walters | Counselor | 287 Independence Blvd, Pembroke 2, Suite 219, Virginia Beach, VA 23462-2962 | 2006-07-24 |
| Street Address |
2040 HUTTON RD SUITE 102 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66109-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922092212 | Lisa A Lorenzetti | Obstetrics & Gynecology | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2005-09-01 |
| 1376163089 | Brandy Marie Gray | Registered Nurse | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2020-04-22 |
| 1801331061 | Precise Physical Therapy, LLC | Occupational Therapist | 2040 Hutton Rd, Ste 104, Kansas City, KS 66109-4526 | 2016-12-27 |
| 1871956524 | Molly Cornell | Physical Therapist | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2016-03-31 |
| 1881081842 | Monica Elissa Kragenbrink | Psychologist | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2015-04-16 |
| 1730583527 | Mary Bowman | Nurse Practitioner | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2014-10-22 |
| 1447651245 | Heartland Neurosurgery of Kansas City, LLC | Neurological Surgery | 2040 Hutton Rd, Suite 105, Kansas City, KS 66109-4526 | 2014-09-11 |
| 1588070817 | Melanie Wade | Nurse Practitioner | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2014-07-08 |
| 1558791236 | Jennifer Paige Mckechnie | Nurse Practitioner | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2013-11-18 |
| 1083960660 | Ellen Marguerite Rodenberger | Clinical Nurse Specialist | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796688 | Lance Miller | Pharmacist | 10510 Parallel, Kansas City, KS 66109 | 2015-12-09 |
| 1386016293 | Tara Newton | Community Health Worker | 2821 N 91 St, Kansas City, KS 66109 | 2015-10-30 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1033559570 | Legends Dental Group, P.a. | Dentist | 10818 Parallel Parkway, Kansas City, KS 66109 | 2013-06-28 |
| 1215277694 | Kristin Kathleen Porter | Dietitian, Registered | 10124 Hutton Road, Kansas City, KS 66109 | 2013-02-22 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| 1356642276 | Anjali Doshi | Dentist | 10818 Parallel Pkwy, Kansas City, KS 66109 | 2010-11-09 |
| 1841411675 | Wendy Ann Brakhage | Chiropractor | 2300 Hutton Road, Suite 101, Kansas City, KS 66109 | 2007-05-01 |
| 1205953742 | Lisa R Gonzales | Dentist | 10203 Leavenworth Road, Kansas City, KS 66109 | 2007-03-22 |
| 1497898290 | Shannon R Margherio | Physical Therapist | 1801 N 98th Street, Kansas City, KS 66109 | 2007-02-14 |
| Find all providers in zip 66109 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834774 | Lowell Fletcher | Family Medicine | Medical Office Building 2000 Olathe Blvc, Kansas City, KS 66160-0001 | 2018-06-11 |
| 1467943571 | Stopgap | Family Medicine | 202 Admiral Blvd, Kansas City, MO 64106-1504 | 2018-05-24 |
| 1376048876 | Eddy I Ndichie Jr. | Family Medicine | 7900 Lees Summit Rd Fl 3, Kansas City, MO 64139-1236 | 2018-03-27 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1639692098 | Partners In Primary Care Nc P C | Family Medicine | 301 E Armour Blvd Ste 2east, Kansas City, MO 64111-1245 | 2017-07-18 |
| 1740719749 | Alejandro Javier Montoya | Family Medicine | 2000 Ne Vivion Rd Ste 100, Kansas City, MO 64118-6127 | 2017-06-05 |
| 1689024382 | Christopher Hazen Short | Family Medicine | 2016 W 43rd Ave Ste A, Kansas City, KS 66103-3313 | 2016-06-14 |
| 1063889905 | Plaza Aesthetics & Wellness LLC | Family Medicine | 4806 Belleview Ave, Kansas City, MO 64112-1321 | 2015-08-26 |
| 1174904544 | Nathan L Boehr | Family Medicine | 5643 Locust St, Kansas City, MO 64110-2735 | 2015-06-11 |
| 1992107585 | Richard Cruz Ibarra | Family Medicine | 754 Pacific Ave, Kansas City, KS 66101-3714 | 2014-09-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66109 |
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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.