DR. JED WOOD WALSH (NPI# 1760010425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760010425 |
| Entity Type | Individual |
| Full Name | DR. JED WOOD WALSH |
| Credential | DO |
| Practice Address |
1505 W Sherman Ave Vineland NJ 08360-7059 |
| Practice Telephone | 8566418000 |
| Mailing Telephone | 8566418000 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
| Street Address |
1505 W SHERMAN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-7059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649879 | Joseph Paul Yampaglia | Anesthesiology | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2005-06-20 |
| 1699392977 | Tahia Sandra Hossain | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-07-02 |
| 1386264133 | Kimberly M Moy | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-22 |
| 1447870464 | David Kline | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-20 |
| 1245850395 | Rebecca Lee | Pharmacist | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-18 |
| 1457970931 | Andrew Coppa | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-14 |
| 1174142822 | Hayley Norian | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1295354058 | Kaitlyn Brower Dressman | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-13 |
| 1851910608 | Muhammad Sheheryar Rizwan | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-12 |
| 1790304798 | Christopher Debord | Clinic/Center | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433535 | Lisa Pedevillano | Student in an Organized Health Care Education/Training Program | 1430 W Sherman Ave, Vineland, NJ 08360-6927 | 2016-04-29 |
| 1316302979 | Brian Brown | Student in an Organized Health Care Education/Training Program | 2466 E Chestnut Ave Ste 2, Vineland, NJ 08361-8486 | 2015-12-28 |
| 1861874786 | Pavan Bhat | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave Dept Of, Vineland, NJ 08360-7059 | 2015-06-27 |
| 1902218639 | Patrick Hamati | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave # 93, Vineland, NJ 08360-6912 | 2014-05-29 |
| 1427656222 | Silvana Jester | Student in an Organized Health Care Education/Training Program | 60 W Landis Ave, Vineland, NJ 08360-8132 | 2020-10-14 |
| 1083211908 | Louis Santos | Student in an Organized Health Care Education/Training Program | 60 W Landis Ave, Vineland, NJ 08360-8132 | 2020-10-04 |
| 1346847423 | Nicolle Carmolingo | Student in an Organized Health Care Education/Training Program | 60 W Landis Ave, Vineland, NJ 08360-8132 | 2020-10-02 |
| 1699392977 | Tahia Sandra Hossain | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-07-02 |
| 1386264133 | Kimberly M Moy | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-22 |
| 1447870464 | David Kline | Student in an Organized Health Care Education/Training Program | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2020-04-20 |
| Find all providers in VINELAND | ||||
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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.