WALTER CHARLES ALLAN (NPI# 1508903089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508903089 |
Entity Type | Individual |
Full Name | WALTER CHARLES ALLAN |
Credential | M.D. |
Practice Address |
8 Science Park Rd Scarborough ME 04074-7169 |
Mailing Address |
Po Box 190 Scarborough ME 04070-0190 |
Practice Telephone | 2078834131 |
Practice Fax Number | 2078850807 |
Mailing Telephone | 2078834131 |
Mailing Fax Number | 2078850807 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2009-09-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
009434 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | CIGNA PIN | 3734857003 | 01 |
ME | ANTHEM PIN | 037355 | 01 |
ME | 237370000 | 05 | |
NH | 30201168 | 05 |
Street Address |
8 SCIENCE PARK RD |
City | SCARBOROUGH |
State | ME |
Zip Code | 04074-7169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811468572 | Katherine A Kopystanski | Speech-Language Pathologist | 8 Science Park Rd, Scarborough, ME 04074-7169 | 2018-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
Find all providers in zip 04074 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750381398 | Stephen D. Rioux | Psychiatry & Neurology | 49 Spring Street, 2nd Floor, Scarborough, ME 04074 | 2005-07-26 |
1114215043 | Jason Alan Helis | Psychiatry & Neurology | 49 Spring St, Scarborough, ME 04074-8926 | 2011-07-12 |
1497052518 | Mainehealth | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074 | 2011-02-25 |
1215269626 | Maine Medical Partners | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2010-02-10 |
1407909344 | Peter Frederick Morrison | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2007-01-22 |
1811064900 | Thomas Q Reynolds | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2006-11-30 |
1831267798 | Alexa K Craig | Psychiatry & Neurology | 49 Spring St, 2nd Floor, Scarborough, ME 04074-8926 | 2006-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982750659 | Edward B Jernigan Jr. | Psychiatry & Neurology | 133 Corporate Dr, Bangor, ME 04401-4312 | 2007-01-26 |
City | SCARBOROUGH |
Zip Code | 04074 |
Please comment or provide details below to improve the information on WALTER CHARLES ALLAN.
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.