SCOTT LOUIS WALTERS (NPI# 1457668733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457668733 |
| Entity Type | Individual |
| Full Name | SCOTT LOUIS WALTERS |
| Credential | PA |
| Practice Address |
559 W Germantown Pike East Norriton PA 19403-4250 |
| Mailing Address |
101 E Olney Ave Ste 400 Philadelphia PA 19120-2470 |
| Practice Telephone | 6102333130 |
| Practice Fax Number | 6102380252 |
| Mailing Telephone | 2154567000 |
| Mailing Fax Number | 2154565926 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA059933 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103739850 | 05 | |
| OH | 0070588 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11100 Euclid Ave, Cleveland, OH 441061716 | 2168441636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144230574 | Scott Allen Walters | Dentist | 2025 Meadowview Pkwy, Ste 101, Kingsport, TN 37660-7386 | 2006-08-08 |
| 1295365120 | Scott R Walters | Pedorthist | 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 | 2020-01-20 |
| 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 |
| 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 |
559 W GERMANTOWN PIKE |
| City | EAST NORRITON |
| State | PA |
| Zip Code | 19403-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801876958 | Fornance Physician Services, Inc | Anesthesiology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2006-01-17 |
| 1811506546 | Deepthi Yarramsetty | Internal Medicine | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-07-29 |
| 1861016172 | Lauren Kelly Gallagher | Registered Nurse | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-06-02 |
| 1942821541 | Anna Vasiliga | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-05-05 |
| 1073134433 | Chris David Evanish | Spec/Tech, Pathology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-04-27 |
| 1184244238 | Andrew Geliebter | Nurse's Aide | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-04-19 |
| 1780203745 | Fenella Traktovenko | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-04-10 |
| 1871120782 | Kelli Joerger | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-03-23 |
| 1891338232 | Alison Mcgoldrick | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-17 |
| 1194367847 | Prachi Patel | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746858 | Jason Hyunjin Cho | Physician Assistant | 101 Susan Constant Ct, East Norriton, PA 19401-1855 | 2020-10-07 |
| 1811408867 | Bethany Dawn Shirilla | Physician Assistant | 170 W Germantown Pike Ste C1, East Norriton, PA 19401-1389 | 2017-10-17 |
| 1013218197 | Joy Henderson | Physician Assistant | 599 W Germantown Pike, East Norriton, PA 19403 | 2010-11-05 |
| 1942821541 | Anna Vasiliga | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-05-05 |
| 1780203745 | Fenella Traktovenko | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2020-04-10 |
| 1194367847 | Prachi Patel | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-15 |
| 1871134445 | Krystal Humphreys | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-10-03 |
| 1568019628 | Julina Taurino | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-08-23 |
| 1396399366 | Elizabeth Catherine Jeitner | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-07-29 |
| 1619520194 | Katherine Arnao | Physician Assistant | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2019-07-23 |
| Find all providers in EAST NORRITON | ||||
| City | EAST NORRITON |
| Zip Code | 19403 |
Please comment or provide details below to improve the information on SCOTT LOUIS WALTERS.
| 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.