DAVID CLAYTON WALTHALL


Address: 1340 S Damen Ave, Chicago, IL 60608-1169
Phone: 3129977200

DAVID CLAYTON WALTHALL (NPI# 1619477965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619477965
Entity Type Individual
Full Name DAVID CLAYTON WALTHALL
Credential FNP, MSN, BSN
Practice Address 1340 S Damen Ave
Chicago
IL 60608-1169
Practice Telephone 3129977200
Enumeration Date 2018-02-13
Last Update Date 2018-02-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.017198 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers DAVID WALTHALL

NPI Name Taxonomy Address Enumeration
1477760122 David Barclay Walthall IIi Family Medicine 541 Walnut Ave, Waynesboro, VA 22980 2007-05-16

Office Location

Street Address 1340 S DAMEN AVE
City CHICAGO
State IL
Zip Code 60608-1169

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811998438 Home Physicians PC Podiatrist 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 2005-08-04
1649722174 Sonja Boone Internal Medicine 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 2016-11-01
1982093738 Melissa Louise Hetzel Registered Nurse 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 2015-01-16
1265830442 Thelma Michelle Holt-nicholson Nurse Practitioner 1340 S Damen Ave, Chicago, IL 60608-1169 2014-12-20
1043614597 Kavitha Wagner Nurse Practitioner 1340 S Damen Ave, Suite 400, Chicago, IL 60608-1169 2014-10-13
1982007878 Christine Agostino Registered Nurse 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 2014-10-06
1952703795 Deborah M Bryant Registered Nurse 1340 S Damen Ave, Suite 210, Chicago, IL 60608-1169 2014-09-24
1851700637 Chiriss Mcgraw Nurse Practitioner 1340 S Damen Ave, Chicago, IL 60608-1169 2014-08-06
1780012245 Robin Anderson Nurse Practitioner 1340 S Damen Ave, Chicago, IL 60608-1169 2013-10-21
1316389570 Sheridan Keeter Nurse Practitioner 1340 S Damen Ave, Ste 210, Chicago, IL 60608-1169 2013-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
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Competitor

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City CHICAGO
Zip Code 60608

Improve Information

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Dataset Information

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.

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