ROBERT EDMUND WALTER (NPI# 1780774570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780774570 |
Entity Type | Individual |
Full Name | ROBERT EDMUND WALTER |
Credential | MD |
Practice Address |
1505 W Elk Ave Suite 2 Elizabethton TN 37643-2848 |
Practice Telephone | 4235431261 |
Practice Fax Number | 4235437500 |
Mailing Telephone | 4235431261 |
Mailing Fax Number | 4235437500 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2017-02-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 170100000X | Medical Genetics, Ph.D. Medical Genetics | MD0000014050 | TN | Other Service Providers |
Y | 207R00000X | Internal Medicine | 14050 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3195327 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861777682 | Robert B Walter | Pharmacist | 8584 Redbud Trail Cv, Germantown, TN 38139-6412 | 2011-10-12 |
1306375704 | Robert Marshall Walter | Dentist | 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 | 2017-06-08 |
1376878918 | Robert Douglas Walter | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2009-10-15 |
1912160961 | Robert Richard Walter | Anesthesiology | 51 Mt Laurel Ave, Birmingham, AL 35242-1800 | 2008-07-09 |
1831351519 | Robert James Walter | Internal Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2008-06-25 |
1336203199 | Robert Bruce Walter | Dentist | Llusd Special Care Dentistry, 11092 Anderson St., Loma Linda, CA 92350-0001 | 2006-12-19 |
1023123973 | Robert Walter | Pediatrics | 3521 Silverside Rd, 1f Quillen Bldg, Wilmington, DE 19810-4900 | 2006-08-20 |
1538108121 | Robert J. Walter | Radiology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-06 |
1205884319 | Robert E. Walter | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-05-04 |
1235118027 | Robert Norman Walter | Internal Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-01-11 |
Street Address |
1505 W ELK AVE SUITE 2 |
City | ELIZABETHTON |
State | TN |
Zip Code | 37643-2848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518902378 | First Medical Group Inc. | Health Maintenance Organization | 1505 W Elk Ave, Ste 2, Elizabethton, TN 37643-2848 | 2006-06-17 |
1457693996 | Blue Ridge Medical Management Corporation | Internal Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2013-03-22 |
1467691857 | Rebecca P Wilkins | Nurse Practitioner | 1505 W Elk Ave, Elizabethton, TN 37643-2848 | 2009-02-09 |
1710140249 | Ryan Andrew Hackett | Family Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2008-07-03 |
1801080171 | Rebekah Livingston Swink | Family Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2007-08-30 |
1124118971 | Jerry L Gastineau | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-10-13 |
1124119458 | David Kenneth Fenner | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-09-28 |
1699867861 | Christopher Manoli Chrisohon | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-09-28 |
1700983210 | First Medical Group Inc | Obstetrics & Gynecology | 1505 W Elk Ave, Suite 1, Elizabethton, TN 37643-2848 | 2006-09-19 |
1659486900 | John David Green | Obstetrics & Gynecology | 1505 W Elk Ave, Suite 1, Elizabethton, TN 37643-2848 | 2006-08-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
Find all providers in zip 37643 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043531932 | Abigail Gass | Internal Medicine | 1503 W Elk Ave Ste 5, Elizabethton, TN 37643-2883 | 2010-06-15 |
1124281894 | Makram Jurdi | Internal Medicine | 1501 W. Elk St, Elizabethton, TN 37643 | 2008-07-03 |
1497813026 | Michelle Lee Davenport | Internal Medicine | 306 Pine Hill Rd, Elizabethton, TN 37643-2920 | 2006-12-05 |
1457693996 | Blue Ridge Medical Management Corporation | Internal Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2013-03-22 |
1184926719 | Blue Ridge Medical Management C Orporation | Internal Medicine | 1497 W Elk Ave, Suite 20, Elizabethton, TN 37643-2874 | 2010-12-02 |
1619102167 | Blue Ridge Medical Management Corporation | Internal Medicine | 314 Rogosin Dr, Suite B, Elizabethton, TN 37643-2904 | 2009-05-27 |
1184746869 | James Lee Davenport | Internal Medicine | 306 Pine Hill Rd, Elizabethton, TN 37643-2920 | 2007-04-04 |
1962506691 | Blue Ridge Medical Management Corporation | Internal Medicine | 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | 2006-09-12 |
1336181239 | Jonathan Scott Bremer | Internal Medicine | 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | 2006-06-12 |
1205889508 | Vivian M Clark | Internal Medicine | 1503 W Elk Ave, Suite 5, Elizabethton, TN 37643-2876 | 2006-05-18 |
Find all providers in ELIZABETHTON |
City | ELIZABETHTON |
Zip Code | 37643 |
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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.