ALAN S. WALTERS, M.D., PLLC


Address: 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624
Phone: 9287711011

ALAN S. WALTERS, M.D., PLLC (NPI# 1801125802) 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) 1801125802
Entity Type Organization
Organization Name ALAN S. WALTERS, M.D., PLLC
Practice Address 804 Ainsworth Dr
Suite 103
Prescott
AZ 86301-1624
Practice Telephone 9287711011
Practice Fax Number 9287711332
Mailing Telephone 9287711011
Mailing Fax Number 9287711332
Enumeration Date 2009-12-22
Last Update Date 2010-02-05
Authorized Official Name NATALIE ORLANDO (BILLER)
Authorized Official Telephone 9286361810
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
23577 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 804 AINSWORTH DR
SUITE 103
City PRESCOTT
State AZ
Zip Code 86301-1624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104829589 Stacy E Masten Social Worker 804 Ainsworth Dr, Ste 105, Prescott, AZ 86301-1624 2005-05-31
1780937797 Elaine Ann Martin-stomel Nurse Practitioner 804 Ainsworth Dr, Suite 102, Prescott, AZ 86301-1624 2012-10-16
1457680456 Thomas H. Hirasa, M.d., Pllc Surgery 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 2009-12-22
1700060316 Mitchell L Gelber Psychologist 804 Ainsworth Dr, Suite #105, Prescott, AZ 86301-1624 2007-12-19
1982711057 Alan S Walters Surgery 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 2006-08-24
1922016682 Thomas H Hirasa Surgery 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 2006-08-04
1073545240 Fred S Markham Md PC Internal Medicine 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301-1624 2006-07-07
1902858533 Prescott Cardiology, PC Internal Medicine 804 Ainsworth Dr, Suite 102, Prescott, AZ 86301-1624 2006-05-16
1679538995 Fred S. Markham Internal Medicine 804 Ainsworth Dr, # 104, Prescott, AZ 86301-1624 2006-04-19
1366403248 Jane Ellen Bridges Nurse Practitioner 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301-1624 2006-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102350 Dove Marie Gundermann Specialist/Technologist 300 W. Gurley St, Prescott, AZ 86301 2020-07-30
1639712110 Arizona Orthopedic Physical Therapy, Pllc Clinic/Center 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 2019-10-28
1538714092 Prescott Complete Care Family Medicine 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 2019-08-01
1336612571 Sarah Elizabeth Elliott Registered Nurse 500 Az 89, Prescott, AZ 86301 2019-01-10
1912484270 Asya Ruth Perkins Counselor 225 Grove Avenue, Prescott, AZ 86301 2018-07-19
1396241394 Jerome Alexander Longoria Chiropractor 142 N. Rush St, Prescott, AZ 86301 2018-03-30
1619487675 Yavapai Healthcare Group LLC Nurse Practitioner 999 Division Street, Prescott, AZ 86301 2017-10-04
1053835843 United States Veterans Initiative Counselor 917 E Gurley St, Prescott, AZ 86301 2017-08-02
1164896999 Spitler - Lilley, LLC Hearing Instrument Specialist 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 2015-11-17
1275925265 Oral and Facial Surgery Center of Prescott Dentist 5415 Distiction Way, Prescott, AZ 86301 2015-02-27
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932424066 Phung Ngoc Le Surgery 808 Ainsworth Dr Ste 103, Prescott, AZ 86301-1625 2010-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073127858 Flagstaff Pain and Treatment Center LLC Surgery 823 N San Francisco St, Flagstaff, AZ 86001-3294 2020-08-31
1013531268 Honorhealth Ambulatory Surgery 6220 W Bell Rd Ste 120, Glendale, AZ 85308-3896 2020-06-03
1649894890 Honorhealth Ambulatory Surgery 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 2020-06-03
1275157414 Honorhealth Ambulatory Surgery 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 2020-06-03
1568025617 Caronae Howell Surgery University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 2019-04-15
1790144889 Scottsdale Healthcare Corporation Surgery 7301 E Osborn Rd., Suite 100, Scottsdale, AZ 85251 2016-02-17
1588061535 Eugene Melvin Zweiback Md Surgery 7619 E Nogales Road, Scottsdale, AZ 85258 2014-11-19
1821434184 Rio Vista Surgical Associates P.C. Surgery 1200 Mohave Dr, Parker, AZ 85344 2013-05-14
1275876518 Sara Catherine Mckeever Surgery 6565 E Carondelet Dr Ste 235, Tucson, AZ 85710-3533 2013-04-05
1689928061 Michael Arthur Davis Surgery 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 2012-11-06
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Competitor

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City PRESCOTT
Zip Code 86301

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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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