MR. STEVEN J WALTER (NPI# 1518956200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518956200 |
| Entity Type | Individual |
| Full Name | MR. STEVEN J WALTER |
| Credential | PA-C |
| Practice Address |
4370 W Main St Dothan AL 36305-1056 |
| Mailing Address |
4005 Pebblecreek Ln Dothan AL 36303-1439 |
| Practice Telephone | 3347935000 |
| Mailing Telephone | 3346995535 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA680 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA9102944 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292271100 | 05 |
| Street Address |
4370 W MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061619 | Richard D Key | Pathology | 4370 W Main St, Dothan, AL 36305-1056 | 2005-08-25 |
| 1467064089 | Regan Woodham | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2020-08-17 |
| 1871114090 | Hillary Ryan Mclemore | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-4000 | 2020-04-28 |
| 1255981908 | Jessica Pastino | Dietitian, Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-09-15 |
| 1255980439 | Madeline Eidson | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2019-09-10 |
| 1720646102 | Austin Wyatt Bivins | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2019-05-31 |
| 1972076859 | Tillman Hall | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-01-03 |
| 1245713684 | App of Alabama Hm, LLC | Hospitalist | 4370 W Main St, Dothan, AL 36305-1056 | 2018-09-12 |
| 1376029744 | Debra Elaine Phillips | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2018-07-18 |
| 1801382478 | Veronica Diane Doss | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305 | 2018-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| 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 |
|---|---|---|---|---|
| 1275516825 | Dennis Jason Smoak | Physician Assistant | 2431 W Main St Ste 1001, Dothan, AL 36301-6404 | 2005-11-28 |
| 1902801517 | Jeffrey Todd Norris | Physician Assistant | 4300 W Main St Ste 405, Dothan, AL 36305-1086 | 2005-06-20 |
| 1861028607 | Richard Henry Jester | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-03-12 |
| 1811482623 | James Daniel Martin | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2018-06-25 |
| 1891206439 | Allie Sarah Alford | Physician Assistant | 106 Westside Dr, Dothan, AL 36303 | 2017-10-23 |
| 1427578970 | Dennis Wade Stewart | Physician Assistant | 4370 W Main St, Dothan, AL 36305-1056 | 2017-06-26 |
| 1992236889 | Sydney K Givens | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2017-03-23 |
| 1801333570 | Amere Hooshmand | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2017-01-19 |
| 1912364522 | Filippo Borsellino | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2016-01-27 |
| 1255798047 | Rachel Brooks | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2016-01-25 |
| Find all providers in DOTHAN | ||||
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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.