WALLER LISLE DALTON (NPI# 1407872559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407872559 |
| Entity Type | Individual |
| Full Name | WALLER LISLE DALTON |
| Credential | MD |
| Practice Address |
800 Rose Street Lexington KY 40536-0001 |
| Mailing Address |
138 Leader Ave Lexington KY 40508-3215 |
| Practice Telephone | 8593235345 |
| Mailing Telephone | 8592577910 |
| Mailing Fax Number | 8592577899 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
18542 | KY | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
18542 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64185424 | 05 |
| Street Address |
800 ROSE STREET |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240108 | Robert Judd English | Nurse Anesthetist, Certified Registered | 800 Rose Street, Dept of Anesthesiology Chandler Medical Center, Lexington, KY 40536 | 2005-07-22 |
| 1235747726 | Amanda Jeanne Phillips | Nurse Practitioner | 800 Rose Street, Room M53, Lexington, KY 40536-0298 | 2020-07-21 |
| 1699383521 | Nicholas David Marnatti | Physician Assistant | 800 Rose Street, Room M53, Lexington, KY 40536-0298 | 2020-07-16 |
| 1871121095 | James Arthur Knight II | Student in an Organized Health Care Education/Training Program | 800 Rose Street, C-246, Lexington, KY 40536-0293 | 2020-04-01 |
| 1962964924 | Xhilda Xhemali | Pharmacist | 800 Rose Street, Room H110, Lexington, KY 40536-0293 | 2019-04-01 |
| 1861952202 | Matthew John Tescula | Student in an Organized Health Care Education/Training Program | 800 Rose Street, Anesthesiology, Lexington, KY 40536-0293 | 2019-03-21 |
| 1487114260 | Eduardo Luis Chacon | Student in an Organized Health Care Education/Training Program | 800 Rose Street, Lexington, KY 40536-0293 | 2019-03-20 |
| 1467911370 | Brian Warner | Student in an Organized Health Care Education/Training Program | 800 Rose Street, Lexington, KY 40536 | 2019-03-19 |
| 1619454469 | Vaishnavi Divya Nagarajan | Student in an Organized Health Care Education/Training Program | 800 Rose Street, Room Mn 118, Lexington, KY 40536-0293 | 2018-07-24 |
| 1679050777 | Alexandria Lauren Wilson | Physician Assistant | 800 Rose Street, Room M53, Lexington, KY 40536 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598230 | Elite Gynecology | Obstetrics & Gynecology | 163 Lake Murray Ter, Lexington, SC 29072-9103 | 2019-06-21 |
| 1003974171 | Lake Murray Obgyn | Obstetrics & Gynecology | 1404 W Main St Ste 1, Lexington, SC 29072-2332 | 2006-12-04 |
| 1679708432 | Lexmedical, Inc. | Obstetrics & Gynecology | 106 W Medical Park Dr, B, Lexington, NC 27292-6853 | 2009-05-22 |
| 1922207356 | Alisa C Gambrell | Obstetrics & Gynecology | University of Kentucky, 800 Rose Street, C-358, Lexington, KY 40536-0293 | 2007-07-16 |
| 1356448211 | James Christopher Stein | Obstetrics & Gynecology | University of Kentucky, 800 Rose Street, Lexington, KY 40506-0001 | 2006-09-20 |
| 1801819602 | Robert Bernard Thompson | Obstetrics & Gynecology | 160 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-2121 | 2006-07-25 |
| 1952345415 | Kathryn Dillon | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-15 |
| 1801830328 | Paul Duane Depriest | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-15 |
| 1538103056 | Christopher Phillip Desimone | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-15 |
| 1518908995 | Frederick Ueland | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-09 |
| Find all providers in LEXINGTON | ||||
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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.