DR. KENT D WALKER (NPI# 1376519033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376519033 |
| Entity Type | Individual |
| Full Name | DR. KENT D WALKER |
| Credential | M.D. |
| Practice Address |
1005 Pennsylvania Ave Ste 210 Ottumwa IA 52501-6414 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 6416833195 |
| Practice Fax Number | 6416863197 |
| Mailing Telephone | 9206637190 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 29726 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902820020 | Kent R Walker | Family Medicine | 16202 64th St E Ste 104, Sumner, WA 98390-3028 | 2006-07-26 |
| 1285989368 | Kent L Walker | Orthopaedic Surgery | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 | 2012-07-16 |
| Street Address |
1005 PENNSYLVANIA AVE STE 210 |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-6414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152642 | Donald D Berg | Orthopaedic Surgery | 1005 Pennsylvania Ave, Ste 212, Ottumwa, IA 52501-6414 | 2005-05-23 |
| 1083155501 | Forefront Dermatology, S.c. | Dermatology | 1005 Pennsylvania Ave, Suite 210, Ottumwa, IA 52501 | 2017-03-16 |
| 1083019376 | Michael T Shaeffer Md PC | Urology | 1005 Pennsylvania Ave, #208, Ottumwa, IA 52501-6413 | 2014-10-29 |
| 1578909248 | Community Pathology Consultants, PC | Pathology | 1005 Pennsylvania Ave, Suite 102, Ottumwa, IA 52501-6408 | 2013-05-21 |
| 1063750586 | Ottumwa Health Group LLC | Family Medicine | 1005 Pennsylvania Ave, Ste 204, Ottumwa, IA 52501-6413 | 2013-01-17 |
| 1740526607 | Rchp-ottumwa, Inc. | Clinical Medical Laboratory | 1005 Pennsylvania Ave, Suite 102, Ottumwa, IA 52501-6413 | 2012-12-21 |
| 1326392259 | Laura A Waddell | Nurse Practitioner | 1005 Pennsylvania Ave, Ste. 204, Ottumwa, IA 52501-6413 | 2012-10-30 |
| 1720230782 | Elizabeth Jo Tigges | Obstetrics & Gynecology | 1005 Pennsylvania Ave, Suite 204, Ottumwa, IA 52501-6413 | 2008-10-21 |
| 1205086998 | Shazia Abbas | Internal Medicine | 1005 Pennsylvania Ave, Suite 104, Ottumwa, IA 52501-6413 | 2008-09-30 |
| 1104018472 | Associates In Dermatology | Nurse Practitioner | 1005 Pennsylvania Ave, Ottumwa, IA 52501-6413 | 2007-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942491451 | Associates In Dermatology Plc | Dermatology | 1005 Pennsylvania Ave, Suite 210, Ottumwa, IA 52501-6414 | 2007-08-08 |
| 1225004799 | Richard T Ameln | Dermatology | 1005 Pennsylvania Ave, Suite 210, Ottumwa, IA 52501-6414 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730705385 | Iowa Dermatology Consultants, Pllc | Dermatology | 974 73rd St Unit 39&40, West Des Moines, IA 50265-1024 | 2020-06-19 |
| 1558909572 | Iowa Dermatology Clinic Plc | Dermatology | 1895 Se Grimes Blvd., Ste. 103, Grimes, IA 50111-1277 | 2019-12-20 |
| 1134781842 | Iowa Dermatology Clinic Plc | Dermatology | 311 S Clark St Ste 280, Carroll, IA 51401-3086 | 2019-07-02 |
| 1366916371 | Iowa Dermatology Clinic, Plc | Dermatology | 3720 N Ankeny Blvd Ste 101, Ankeny, IA 50023-4605 | 2019-01-14 |
| 1972023414 | Iowa Dermatology Clinic Plc | Dermatology | 9500 University Ave Ste 1114, West Des Moines, IA 50266-1745 | 2017-06-26 |
| 1275998692 | Skinspa LLC | Dermatology | 9350 University Ave Ste 132, West Des Moines, IA 50266-1648 | 2015-12-30 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1639541410 | Iowa Dermatology Clinic, Plc | Dermatology | 1510 Sw Oralabor Rd Ste C, Ankeny, IA 50023-7147 | 2015-10-20 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1982942702 | Iowa Dermatology Clinic Plc | Dermatology | 26 S 1st Ave, Suite 100, Marshalltown, IA 50158-5032 | 2013-01-29 |
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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.