AMANDA MARIE WALTER (NPI# 1801187828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801187828 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE WALTER |
| Other Name | AMANDA WALTER |
| Credential | M.D. |
| Practice Address |
1001 Hadley Rd Ll 100 Mooresville IN 46158-1883 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 3178343502 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01073953A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 1513119530001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129581 | Amanda Walter | Clinical Nurse Specialist | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1611 | 2020-09-21 |
| 1912277799 | Amanda Beth Walter | Speech-Language Pathologist | 1500 Maple Rd, Williamsville, NY 14221-3647 | 2012-01-10 |
| Street Address |
1001 HADLEY RD LL 100 |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000237 | Gary S Midla | Family Medicine | 1001 Hadley Rd, Suite 101, Mooresville, IN 46158-1794 | 2005-11-15 |
| 1568980134 | Kaitlin E Alsman | Audiologist | 1001 Hadley Rd, Mooresville, IN 46158-1794 | 2017-09-05 |
| 1881128536 | Tonya Whitaker | Registered Nurse | 1001 Hadley Rd, Ll050, Mooresville, IN 46158-1883 | 2017-04-19 |
| 1740646520 | Katy Grismore | Nurse Practitioner | 1001 Hadley Rd, Suite Ll100, Mooresville, IN 46158-1883 | 2016-01-08 |
| 1144602640 | Traci Lynn Martin | Nurse Practitioner | 1001 Hadley Rd, Suite Ll050, Mooresville, IN 46158-1883 | 2015-06-22 |
| 1740623156 | Christina Marie Kelley | Registered Nurse | 1001 Hadley Rd, Suite 101, Mooresville, IN 46158-1883 | 2013-04-16 |
| 1740527431 | Jacqueline M Stroud | Nurse Practitioner | 1001 Hadley Rd, Suite 102, Mooresville, IN 46158-1883 | 2013-01-15 |
| 1780928408 | Indiana University Eye Care, Inc. | Ophthalmology | 1001 Hadley Rd, Suite 103, Mooresville, IN 46158-1883 | 2012-11-19 |
| 1457611584 | Dara L Sander | Nurse Practitioner | 1001 Hadley Rd, Mooresville, IN 46158-1883 | 2012-05-23 |
| 1740509801 | Bethany R. Troutwine | Family Medicine | 1001 Hadley Rd, Suite 102, Mooresville, IN 46158-1883 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649624529 | Corin Marshall | Pediatrics | 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883 | 2016-04-18 |
| 1235347378 | Northlake Children's Associates, P.a. | Pediatrics | 170a Medical Park Rd, Suite 102, Mooresville, NC 28117 | 2007-05-21 |
| 1083783245 | Stephen J Malloney | Pediatrics | 134 Medical Park Rd Ste 100, Mooresville, NC 28117-8527 | 2006-11-06 |
| 1356357727 | Mooresville Hma Physician Management, Inc. | Pediatrics | 207 S Broad St, Ste 5, Mooresville, NC 28115-3500 | 2006-07-31 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| 1073566014 | Elizabeth Ellen Tilt | Pediatrics | 136 Gateway Blvd Ste A, Mooresville, NC 28117-5608 | 2006-05-19 |
| 1104891902 | Shelley H. Rinker | Pediatrics | 133 Welton Way, Suite C, Mooresville, NC 28117 | 2006-02-23 |
| 1083698005 | Gianna Demos Madrid | Pediatrics | 656 Carpenter Ave, Mooresville, NC 28115-2538 | 2005-12-02 |
| 1275006835 | Piedmont Healthcare, Pa | Pediatrics | 128 Medical Park Rd Ste 200, Mooresville, NC 28117-8579 | 2019-01-07 |
| 1578057394 | Novant Medical Group, Inc. | Pediatrics | 656 Carpenter Ave, Mooresville, NC 28115-2538 | 2018-06-15 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
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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.