ROBERT EDMUND WALTER


Address: 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848
Phone: 4235431261

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TN 3195327 05

Other Providers ROBERT WALTER

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

Office Location

Street Address 1505 W ELK AVE
SUITE 2
City ELIZABETHTON
State TN
Zip Code 37643-2848

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ELIZABETHTON
Zip Code 37643

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Dataset Information

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.

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