MR. ALVIN WALSH III


Address: 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637
Phone: 2288329038

MR. ALVIN WALSH III (NPI# 1790224871) 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) 1790224871
Entity Type Individual
Full Name MR. ALVIN WALSH III
Credential NP-C
Practice Address 15444 Dedeaux Rd Ste B
Gulfport
MS 39503-2637
Practice Telephone 2288329038
Practice Fax Number 2288329990
Mailing Telephone 2288329038
Mailing Fax Number 2288329990
Enumeration Date 2017-02-22
Last Update Date 2019-10-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 901904 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS STATE LICENSE NUMBER 901904 01
MS 06082764 05
MS MEDICARE PTAN 575390YXF9 01

Office Location

Street Address 15444 DEDEAUX RD STE B
City GULFPORT
State MS
Zip Code 39503-2637

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508949538 Joseph Daniel Hull Family Medicine 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 2006-10-23
1902233778 Heart Hypertension Cholesterol & Diabetes Care LLC Internal Medicine 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 2013-10-10
1053554808 Juliet W Richards Nurse Practitioner 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 2009-04-09
1386772283 Cherryl D Purvis Internal Medicine 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 2007-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013515451 Gulf Coast Neurospa, LLC Psychiatry & Neurology 8845 Lorraine Road, Gulfport, MS 39503 2020-10-16
1447865985 Nicholas Wyrosdick Physical Therapist 12261 Us 49 #1, Gulfport, MS 39503 2020-09-11
1750935169 Ladner Roy Drugs, LLC. Pharmacy 12261 Us 49 Suite 16, Gulfport, MS 39503 2019-07-25
1528559440 Alexander Therapy Services, LLC Clinic/Center 15465 Oak Ln Ste 100c, Gulfport, MS 39503 2018-05-25
1750879003 Heather Lynn Theisen Nurse Practitioner 15190 Community Rd Ste 330, Gulfport, MS 39503 2018-04-23
1083101216 Gulf Coast Mental Health Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15094 County Barn Road, Gulfport, MS 39503 2018-04-13
1306343173 Dr. Raymond Monsour Scurfield, LLC Community/Behavioral Health 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 2018-04-09
1952817157 Mary Beth Welch Behavioral Analyst 9230 Old Lorraine Rd, Gulfport, MS 39503 2017-12-26
1831603257 Beach View Family Dental, Pllc Dentist 9072 Lorraine Road, Gulfport, MS 39503 2017-11-21
1437677721 Mary Stephens Ruffin Social Worker 11262 Creek Dr, Gulfport, MS 39503 2017-09-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356960777 Jennifer M Hunter Nurse Practitioner 8970 Lorraine Rd, Gulfport, MS 39503-4176 2020-04-15
1831720242 Amanda R Woodcock Nurse Practitioner 1391 Broad Ave Ste A, Gulfport, MS 39501-2419 2020-02-04
1528428182 Teresa Kay Guy Nurse Practitioner 6107 Kipps Colony Dr W, Gulfport, FL 33707-3969 2016-02-25
1255608816 828 Walk In Clinic Nurse Practitioner 12207 Hwy 49, Suite 40, Gulfport, MS 39503 2011-11-28
1326343484 Kelli Michelle Garrigues Nurse Practitioner 1110 Broad Ave Ste 700, Gulfport, MS 39501-8908 2011-01-21
1386815694 Heather Nicole Swann Nurse Practitioner 4333 15th St Ste B, Gulfport, MS 39501 2008-03-13
1013064245 Leigh P Drace Nurse Practitioner 394 Courthouse Rd Ste A, Gulfport, MS 39507-1866 2007-01-03
1801987870 Primesource Nursing Services, Inc Nurse Practitioner 4906 Kendall Ave, Gulfport, MS 39507-4409 2006-09-27
1659477693 Gary Dalton Gentry Nurse Practitioner 4500 13th Street, Wound Care, Gulfport, MS 39501 2006-09-16
1487673406 Katherine P Griffis Nurse Practitioner 38 Pass Rd Ste A, Gulfport, MS 39507-3107 2006-07-19
Find all providers in GULFPORT

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City GULFPORT
Zip Code 39503

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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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