ROBERT WALTERS III (NPI# 1912535089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912535089 |
| Entity Type | Individual |
| Full Name | ROBERT WALTERS III |
| Credential | DO |
| Practice Address |
5900 Byron Center Ave Sw Wyoming MI 49519-9686 |
| Practice Telephone | 6162527200 |
| Mailing Telephone | 6162527200 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386130912 | Robert Roy Walters | Pharmacist | 3545 Olentangy River Rd Ste 100, Columbus, OH 43214-3995 | 2018-07-06 |
| 1902015381 | Robert Walters | Psychologist | 1350 Connecticut Ave Nw Ste 205, Washington, DC 20036-1723 | 2007-05-22 |
| 1932118643 | Robert G. Walters | Podiatrist | 1720 Gunbarrel Rd Ste 204, Chattanooga, TN 37421-3192 | 2006-08-05 |
| 1952352270 | Robert B Walters | Orthotist | 3909 Sunset Ridge Rd, Ste 103, Raleigh, NC 27607-6667 | 2006-05-12 |
| 1174503890 | Robert Edmond Walters Jr. | Internal Medicine | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2006-01-19 |
| 1083174676 | Robert Owen Walters Jr. | Pharmacist | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2019-03-21 |
| 1699042713 | Robert Walters | Psychologist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2011-11-17 |
| 1023392727 | Robert Lee Walters Jr. | Pharmacist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2011-09-30 |
| 1548482482 | Robert William Walters | Dermatology | 6200 Uptown Blvd Ne, Ste 410, Albuquerque, NM 87110-4159 | 2007-05-02 |
| 1013085737 | Robert Walters | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-01 |
| Street Address |
5900 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484869 | Anita Irene Charochak | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2005-06-02 |
| 1912504283 | Jacalyn Kaiser | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-10-08 |
| 1659987196 | David Paul Mandziara | Specialist/Technologist, Other | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-09-21 |
| 1265048847 | Bella Baazov | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-09-19 |
| 1548889504 | Maurice Anthony Marshall | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-10 |
| 1619596814 | Tyler Ledy | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-04-09 |
| 1427677475 | James Darin Chessrown | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-09 |
| 1285263533 | Matthew Michael Gibbs | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1427687755 | Molly Magen | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1316576804 | Lindsay Grace Schichtel | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447888532 | Ryan Volk | Student in an Organized Health Care Education/Training Program | 5060 Amanda Dr Sw, Wyoming, MI 49418-9766 | 2020-04-01 |
| 1477092807 | Christine M Titus | Student in an Organized Health Care Education/Training Program | 1081 Wyoming Rd, Wyoming, NY 14591-9510 | 2017-02-17 |
| 1164973277 | Paul Drenth | Student in an Organized Health Care Education/Training Program | 5137 Alexandria Dr Sw, Wyoming, MI 49418-9772 | 2016-10-24 |
| 1043634298 | Jacob Edward Golin | Student in an Organized Health Care Education/Training Program | 4125 Colby Ave Sw, Wyoming, MI 49509-4418 | 2014-02-08 |
| 1891307476 | Aimee Moccia | Student in an Organized Health Care Education/Training Program | 2250 28th St Sw Ste 2, Wyoming, MI 49519-2306 | 2020-08-17 |
| 1548889504 | Maurice Anthony Marshall | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-10 |
| 1619596814 | Tyler Ledy | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-04-09 |
| 1427677475 | James Darin Chessrown | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-09 |
| 1285263533 | Matthew Michael Gibbs | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1427687755 | Molly Magen | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
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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.