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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
23577 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
804 AINSWORTH DR SUITE 103 |
City | PRESCOTT |
State | AZ |
Zip Code | 86301-1624 |
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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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 |
Find all providers in zip 86301 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932424066 | Phung Ngoc Le | Surgery | 808 Ainsworth Dr Ste 103, Prescott, AZ 86301-1625 | 2010-03-31 |
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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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.