WALTER DEWEY BRANCH II (NPI# 1760550107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760550107 |
| Entity Type | Individual |
| Full Name | WALTER DEWEY BRANCH II |
| Credential | MD |
| Practice Address |
300 W Hospital Road Attn Credentials Fort Gordon GA 30905-5650 |
| Mailing Address |
4500 Ridge Pine Dr Evans GA 30809-4466 |
| Practice Telephone | 7067872720 |
| Practice Fax Number | 7087878176 |
| Mailing Telephone | 7063646886 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 03880 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922169143 | Walter B. Branch | Psychologist | 322 Stephenson Ave, Suite B, Savannah, GA 31405-5929 | 2006-12-12 |
| Street Address |
300 W HOSPITAL ROAD ATTN CREDENTIALS |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790733517 | Shima Shaikh Syed | Internal Medicine | 300 W Hospital Road, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-05-04 |
| 1831365865 | Gregory Bryant Coleman | Physical Therapy Assistant | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2008-04-30 |
| 1508031550 | Clarice Dewitt Marty | Physical Therapy Assistant | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2008-04-29 |
| 1629243118 | Catherine Denise Ferguson | Licensed Practical Nurse | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2008-04-25 |
| 1548302573 | Yvonne Lovenia Tucker-harris | Social Worker | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-02-13 |
| 1225184088 | Eisenhower Army Medical Center | Military Hospital | 300 W Hospital Road, Eisenhower Army Medical Center Credentials, Fort Gordon, GA 30905-5650 | 2007-01-26 |
| 1760534408 | Jennifer A Welder | Registered Nurse | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-01-16 |
| 1659428423 | Signe Alexis Erne | Physician Assistant | 300 W Hospital Road, Od Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-01-04 |
| 1669539094 | Vivian A. Kelley | Nurse Practitioner | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2007-01-03 |
| 1003978529 | Eric Larson Doane | Family Medicine | 300 W Hospital Road, Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558408674 | Constance Ann Lavieri-reynolds | Emergency Medicine | Buidling 300 East Hospital Road, Fort Gordon, GA 30905 | 2007-01-30 |
| 1811923725 | Steven Tiernan | Emergency Medicine | Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2006-06-23 |
| 1770524134 | Jacques R Pye | Emergency Medicine | 300 W Hospital Rd, Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-06-09 |
| 1528323342 | Michelle Lynne Bailey | Emergency Medicine | 300 E Hospital Rd, 11c-17, Fort Gordon, GA 30905 | 2012-07-09 |
| 1437445418 | Zachary Sutton | Emergency Medicine | 300 W Hospital Rd Rm 5c-09, Fort Gordon, GA 30905-5741 | 2011-06-28 |
| 1104119403 | Jared Allan Sutton | Emergency Medicine | 300 Hospital Road, Emergency Department, Fort Gordon, GA 30905-5650 | 2011-05-18 |
| 1184852071 | Chris K Jensen | Emergency Medicine | 300 E Hospital Road, Fort Gordon, GA 30905 | 2009-06-30 |
| 1831346139 | Michael John Allen | Emergency Medicine | 300 Hospital Road, Fort Gordon, GA 30905-5650 | 2008-08-19 |
| 1619132826 | Christopher Adam Farabaugh | Emergency Medicine | 300 East Hospital Road, Emergency Department, Fort Gordon, GA 30905-5650 | 2008-07-28 |
| 1316015027 | David Wilson Coffin | Emergency Medicine | 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | 2006-12-01 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.