DR. STEVAN ANTHONY WALKOWSKI (NPI# 1790865418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790865418 |
| Entity Type | Individual |
| Full Name | DR. STEVAN ANTHONY WALKOWSKI |
| Credential | D.O |
| Practice Address |
408 Parks Hall Athens OH 45701 |
| Practice Telephone | 7405939303 |
| Mailing Telephone | 7405932447 |
| Mailing Fax Number | 7405932422 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 34005061 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DEA NUMBER | BW2374217 | 01 |
| Street Address |
408 PARKS HALL |
| City | ATHENS |
| State | OH |
| Zip Code | 45701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790743375 | Anthony George Chila | Neuromusculoskeletal Medicine & OMM | 408 Parks Hall, Athens, OH 45701 | 2006-05-03 |
| 1932150869 | David C Eland | Neuromusculoskeletal Medicine & OMM | 408 Parks Hall, Athens, OH 45701 | 2006-05-15 |
| 1598713505 | Michael D Soroka | Neuromusculoskeletal Medicine & OMM | 408 Parks Hall, Athens, OH 45701-1359 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235603176 | Integrated Medicine of Athens, LLC | General Practice | 623 N Milledge Ave Unit A, Athens, GA 30601-3803 | 2019-01-14 |
| 1629470356 | American Family Care, Inc. | General Practice | 1285 Hwy 72 East, Athens, AL 35611-0000 | 2014-09-25 |
| 1891013090 | William Austin Zorn Jr. | General Practice | 2440 W Broad St Ste 1, Athens, GA 30606-3429 | 2010-05-12 |
| 1811178569 | Athens Attentive Md, LLC | General Practice | 455 Epps Bridge Pkwy, Building 100, Suite 102, Athens, GA 30606-3347 | 2007-11-23 |
| 1477671253 | Paul Collins Broun Jr. | General Practice | 1221 Knob Creek Dr, Athens, GA 30606-7040 | 2007-03-27 |
| 1356498380 | Gail L Hurley | General Practice | 402 Mckinley Dr, Athens, GA 30601-3261 | 2007-01-04 |
| 1952412280 | Max Evans Ayer | General Practice | 218 South Palestine, Athens, TX 75751 | 2006-08-31 |
| 1639116197 | Rodney Dunham | General Practice | 2324 Congress Pkwy S, Athens, TN 37303-2820 | 2006-06-01 |
| 1538146055 | Randall L Dearment | General Practice | 902 W Washington St, Athens, AL 35611-2438 | 2005-12-27 |
| 1437151024 | Christopher Simpson | General Practice | 265 W Union St, Suite B, Athens, OH 45701 | 2005-08-12 |
| Find all providers in ATHENS | ||||
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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.