DR. WALTER LANG BERNACKI (NPI# 1871664714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871664714 |
| Entity Type | Individual |
| Full Name | DR. WALTER LANG BERNACKI |
| Credential | MD |
| Practice Address |
300 Polaris Pkwy Ste 2650 Westerville OH 43082-7997 |
| Mailing Address |
300 Polaris Parkway Ste 2650 Westerville OH 43082-7997 |
| Practice Telephone | 6146825095 |
| Practice Fax Number | 6148916533 |
| Mailing Telephone | 6146825095 |
| Mailing Fax Number | 6148916533 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35071567B | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2319244 | 05 |
| Street Address |
300 POLARIS PKWY STE 2650 |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43082-7997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902869274 | Connie A Mccoy | Family Medicine | 300 Polaris Pkwy, Ste 3000, Westerville, OH 43082 | 2006-04-08 |
| 1518510452 | Genevieve Elyse Roberts | Physical Therapist | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2019-07-19 |
| 1790269314 | Molly Bachmann | Physical Therapist | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-19 |
| 1851874044 | Hunny Ronee Adams | Physical Therapist | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-13 |
| 1568945848 | Ohrh, LLC | Durable Medical Equipment & Medical Supplies | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-12 |
| 1720561095 | Michelle Bright | Physical Therapist | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-12 |
| 1073096509 | Taryn Willard | Physical Therapy Assistant | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-11 |
| 1538642061 | Allison L Cline | Physical Medicine & Rehabilitation | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-11 |
| 1568945236 | Keavy Eileen Mcnaughton-james | Physical Therapist | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-10 |
| 1801379474 | Tarah Dawn Briggs | Physical Therapist | 300 Polaris Pkwy, Westerville, OH 43082-7989 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023501509 | Taylor Wucinich | Audiologist | 387 County Line Rd W Ste 116, Westerville, OH 43082 | 2018-06-11 |
| 1366940132 | Hogan Nicklaus Marshall | Specialist/Technologist | 7118 Mount Royal Ave, Westerville, OH 43082 | 2018-01-26 |
| 1356858450 | Margaret Adams | Chiropractor | 387 County Line Rd. W, 215, Westerville, OH 43082 | 2018-01-10 |
| 1326407701 | Heidi A. Stauffer Dds | Dentist | 124 County Line Rd W, Suite A, Westerville, OH 43082 | 2016-02-15 |
| 1629324553 | Mavis Asamoah | Licensed Practical Nurse | 5401 Country Meadow Ct, Westerville, OH 43082 | 2012-07-30 |
| 1326283698 | Amy Lyn Gosnell | Dermatology | 300 Polaris Pkwy Ste 3300, Westerville, OH 43082 | 2008-12-15 |
| 1215186705 | Molly Hauer | Nursing Facility/Intermediate Care Facility | 7017 Laver Ln, Westerville, OH 43082 | 2008-09-09 |
| 1013181205 | Tridia Hospice Care, Inc. | Hospice Care, Community Based | 110 Polaris Pkwy Ste 302, Westerville, OH 43082 | 2008-04-17 |
| 1174702070 | Kathryn J Watkins Younkin | Dentist | 450 Alkyre Run Dr, Suite 290, Westerville, OH 43082 | 2007-10-26 |
| 1033300900 | Audrey Jones | Student in an Organized Health Care Education/Training Program | 187 W. Schrock Rd, Children's Hospital Guidance Center, Westerville, OH 43082 | 2007-08-06 |
| Find all providers in zip 43082 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841788759 | Oma Christina Barfield | Specialist | 89 Westerville Plz # 29, Westerville, OH 43081-2882 | 2018-04-26 |
| 1053869255 | Carlie Mankin | Specialist | 6291 Rocky Terrace Ln, Westerville, OH 43081-2590 | 2016-09-15 |
| 1649641903 | Elizabeth Peer | Specialist | 74 C Electric Ave, Westerville, OH 43081 | 2015-10-13 |
| 1750656591 | Jennifer Wilson | Specialist | 7304 Clancy Way, Westerville, OH 43082-9306 | 2012-03-13 |
| 1548406556 | Mark Davanzo Md LLC | Specialist | 477 Cooper Road, Suite 440, Westerville, OH 43081-8053 | 2008-12-22 |
| 1417157348 | Elaine A Beed M D Inc | Specialist | 660 Cooper Rd Ste 600, Westerville, OH 43081-9235 | 2007-07-19 |
| 1992914535 | Courtney Fleming | Specialist | 5943 Harlem Rd, Westerville, OH 43082-9205 | 2007-05-21 |
| 1972625390 | Helen Cecelia Mccandlish | Specialist | 682 Bay Dr, Westerville, OH 43082-7491 | 2007-04-05 |
| 1043373459 | Northeast Orthopedics Inc | Specialist | 164 Wetherby Ln, Westerville, OH 43081-4957 | 2006-12-18 |
| 1114006103 | Mark Edward Goldsmith | Specialist | 262 Chinkapin Way, Westerville, OH 43081-4523 | 2006-11-02 |
| Find all providers in WESTERVILLE | ||||
| City | WESTERVILLE |
| Zip Code | 43082 |
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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.