THOMAS LORENZO WALDEN JR. (NPI# 1447214028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447214028 |
| Entity Type | Individual |
| Full Name | THOMAS LORENZO WALDEN JR. |
| Credential | M.D. |
| Practice Address |
1200 Pine Run Dr Lumberton NC 28358-2180 |
| Mailing Address |
Po Box 41208 Fayetteville NC 28309-1208 |
| Practice Telephone | 9106715730 |
| Practice Fax Number | 9106715732 |
| Mailing Telephone | 9106096691 |
| Mailing Fax Number | 9106095398 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
9800410 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891195L | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508897307 | Thomas E Walden | Psychiatry & Neurology | 204 N College St, Mountain Home, AR 72653-3654 | 2006-07-06 |
| 1508852930 | Thomas Bruce Walden | Specialist | 3729 Easton Nazareth Hwy, Easton, PA 18045-8344 | 2005-09-21 |
| Street Address |
1200 PINE RUN DR |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286721 | Maleka Z Ahmed | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2005-09-26 |
| 1699266742 | Southeastern Regional Physician Services | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2018-05-24 |
| 1841746773 | Edward Scott Taylor | Nurse Practitioner | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2016-08-31 |
| 1912337684 | Southeastern Regional Medical Center | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2013-11-18 |
| 1891825964 | Marvaretta Miesha Stevenson | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2007-03-06 |
| 1114073160 | Private Diagnostic Clinic, Pllc | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2007-01-25 |
| 1609950583 | Ahmad Mahmood | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2006-10-25 |
| 1306862800 | Private Diagnostic Clinic, Pllc | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2006-07-15 |
| 1063458941 | Catherine Lyn Gaines | Physician Assistant | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
| 1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
| 1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
| 1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
| 1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
| 1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
| 1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
| 1285844183 | John S Moody | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-05-22 |
| 1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
| 1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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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.