WALTER DODARD (NPI# 1699720516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699720516 |
| Entity Type | Individual |
| Full Name | WALTER DODARD |
| Credential | DO |
| Practice Address |
622 Washington St Watertown NY 13601-4036 |
| Mailing Address |
Po Box 91 Watertown NY 13601 |
| Practice Telephone | 3157882003 |
| Practice Fax Number | 3157887087 |
| Mailing Telephone | 3157824207 |
| Mailing Fax Number | 3157828699 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 226806 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02460786 | 05 |
| Street Address |
622 WASHINGTON ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074232 | Jill Christine Peterson | Emergency Medicine | 622 Washington St, Comprehensive Womens Health Services, Watertown, NY 13601-4036 | 2005-06-28 |
| 1437601705 | Christa M Rick | Midwife | 622 Washington St, Watertown, NY 13601-4036 | 2016-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538114152 | Elliott S Cohen | Obstetrics & Gynecology | 622 Washington Street, Watertown, NY 13601 | 2006-05-23 |
| 1962475426 | Deirdre Duffy | Obstetrics & Gynecology | 109 Air Park Dr, Watertown, WI 53094-7400 | 2006-02-07 |
| 1972580140 | Tahmina Aafreen | Obstetrics & Gynecology | 128 Hospital Dr, Watertown, WI 53098-3304 | 2005-12-28 |
| 1326455221 | Christopher Jonathan Cole | Obstetrics & Gynecology | 826 Washington Street, Samaritan Hospital-fort Drum Obgyn Department, Watertown, NY 13601 | 2014-07-13 |
| 1609291376 | Mt Auburn Professional Obgyn | Obstetrics & Gynecology | One Arsenal Marketplace, Watertown, MA 02472-2861 | 2014-03-04 |
| 1881957686 | Katrina Diann Stinson | Obstetrics & Gynecology | 1575 Washington St, Watertown, NY 13601-9371 | 2012-06-18 |
| 1366736480 | Heather Irobunda | Obstetrics & Gynecology | 826 Washington St, Watertown, NY 13601-4063 | 2011-06-06 |
| 1083842884 | Jessica Leigh Hardesty | Obstetrics & Gynecology | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2009-06-30 |
| 1093979429 | Jessica Dickes | Obstetrics & Gynecology | 901 4th St Nw, Watertown, SD 57201-1558 | 2008-07-15 |
| 1669636395 | James A Jones Ob/gyn | Obstetrics & Gynecology | 600 4th St Ne Ste 203, Watertown, SD 57201-1898 | 2008-07-11 |
| Find all providers in WATERTOWN | ||||
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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.