DR. THOMAS M. WALSH (NPI# 1659363257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659363257 |
| Entity Type | Individual |
| Full Name | DR. THOMAS M. WALSH |
| Credential | M.D. |
| Practice Address |
113 River Run Queenstown MD 21658-1642 |
| Practice Telephone | 4103534501 |
| Mailing Telephone | 4103534501 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0023867 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CIGNA PIN | 0122983 | 01 |
| MD | RR MEDICARE | 80083146 | 01 |
| MD | JHHC PROVIDER NUMBER | 028700 | 01 |
| MD | MAMSI SPECIALIST BN | 235423 | 01 |
| MD | 769241200 | 05 | |
| MD | MAMSI PRIMARY CARE KI | 8114676 | 01 |
| MD | CAREFIRST MPOS | P11963 | 01 |
| MD | CAREFIRST MD RENDERING KI | 354504-05 | 01 |
| MD | AETNA CAPITATED BROADNECK | 0100062 | 01 |
| MD | MAMSI SPECIALIST KI | 2114676 | 01 |
| MD | CAREFIRST MD RENDERING BN | 354504-01 | 01 |
| MD | AETNA FEE FOR SERVICE | 4088401 | 01 |
| MD | AETNA CAPITATED KENT IS. | 0100067 | 01 |
| MD | CAREFIRST BLUECHOICE | 7605-0015 | 01 |
| MD | MAMSI PRIMARY CARE BN | 835423 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1457532186 | Thomas J Walsh | Social Worker | 4848 Battery Ln Ste 202, Bethesda, MD 20814-2703 | 2007-11-21 |
| 1528114683 | Thomas William Walsh | Social Worker | 2100 Charlie Hall Boulevard, Charleston, SC 29414-5832 | 2007-01-25 |
| 1679625958 | Thomas Jacob Walsh | Social Worker | 1609 Beau Dr, Raymore, MO 64083-8148 | 2007-01-17 |
| 1568473775 | Thomas G Walsh | Dentist | 1027 Sherman Ave, Coeur D' Alene Oral Surgery, Coeur D' Alene, ID 83814-4152 | 2006-08-11 |
| 1831124254 | Thomas Raymond Walsh | Surgery | 1710 Kernersville Medical Pkwy Ste 220, Suite 220, Kernersville, NC 27284-7156 | 2006-07-12 |
| 1255325775 | Thomas Francis Walsh | Urology | 100 Peach St Ste 102, Erie, PA 16507-1423 | 2005-09-12 |
| 1306846209 | Thomas L Walsh | Orthotist | 5701 Cheviot Rd, Cincinnati, OH 45247-7007 | 2005-07-21 |
| 1871597435 | Thomas J Walsh | Family Medicine | 2723 New Salem Hwy, Murfreesboro, TN 37128 | 2005-06-10 |
| 1104481910 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2019-05-07 |
| Street Address |
113 RIVER RUN |
| City | QUEENSTOWN |
| State | MD |
| Zip Code | 21658-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306916 | Andrea Lynn Shafer | Nurse Practitioner | Maryland Primary Care Physicians 125 Shoreway Dr, Ste 120, Queenstown, MD 21658 | 2019-06-25 |
| 1710206321 | Daniel Lamphier | Family Medicine | 125 Shoreway Dr Ste 120, Queenstown, MD 21658 | 2010-05-21 |
| 1881757052 | Queenstown Volunteer Fire Company | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2006-12-19 |
| 1457459216 | Kathleen Stephanie Van Fossen | Social Worker | 206 Del Rhodes, Ste 203, Queenstown, MD 21658 | 2006-09-20 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1730440165 | Bethany Lynn Berger | Nurse Practitioner | 125 Shoreway Drive, Suite 120, Queenstown, MD 21658 | 2012-06-01 |
| 1265579353 | Queenstown Volunteer Fire | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2007-01-30 |
| 1619075496 | Sallie Miller | Social Worker | 206 Del Rhodes, Suite 203, Queenstown, MD 21658 | 2006-09-20 |
| 1568581957 | Nicole Williams | Speech-Language Pathologist | 6923 Main St, Queenstown, MD 21658-1219 | 2007-03-28 |
| 1437123999 | Justin Scott Marlett | Specialist | 223 Melvin Ave, Queenstown, MD 21658-1237 | 2006-02-13 |
| Find all providers in zip 21658 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710206321 | Daniel Lamphier | Family Medicine | 125 Shoreway Dr Ste 120, Queenstown, MD 21658 | 2010-05-21 |
| 1164684965 | Timothy Mackey Klepper | Family Medicine | 125 Shoreway Drive, Suite 120, Queenstown, MD 21658-1681 | 2008-07-02 |
| 1871587568 | Juanita Belle Bauman | Family Medicine | 317 Overlook Drive, Queenstown, MD 21658-1262 | 2005-09-08 |
| 1780685073 | Jamie Lynne Harms | Family Medicine | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-09 |
| 1437150042 | James Martin Chamberlain | Family Medicine | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSTOWN |
| Zip Code | 21658 |
Please comment or provide details below to improve the information on DR. THOMAS M. WALSH.
| 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.