DR. GERALD CHARLES WALTHALL (NPI# 1922147396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922147396 |
| Entity Type | Individual |
| Full Name | DR. GERALD CHARLES WALTHALL |
| Credential | M.D. |
| Practice Address |
1600 Albany St Beech Grove IN 46107-1541 |
| Mailing Address |
5190 Potters Pike Indianapolis IN 46234-2945 |
| Practice Telephone | 3177826940 |
| Practice Fax Number | 3177838532 |
| Mailing Telephone | 3172970521 |
| Mailing Fax Number | 3177838532 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 01022896A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1600 ALBANY ST |
| City | BEECH GROVE |
| State | IN |
| Zip Code | 46107-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699733824 | Mary Kathaleen Steinke | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2006-05-04 |
| 1497028112 | Abigail Nicole Emerick | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-10 |
| 1639441462 | Lauren Kathleen Liechty | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-09 |
| 1063700847 | Franci Taylor Gesell | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-07-14 |
| 1083908966 | Franciscan St. Francis Health | General Acute Care Hospital | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-06-08 |
| 1396058608 | Jack E Bonham | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2010-07-16 |
| 1184887994 | Gretchen Kathleen Fisher | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-07-02 |
| 1245406214 | St. Francis Hospital and Health Centers | Psychiatry & Neurology | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-04-30 |
| 1366624728 | Jeri Dine | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2007-11-28 |
| 1225224777 | Amanda Lee Kendall | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757464 | Lisa Katherine Mabie | Pharmacist | 1808 N Albany St, Beech Grove, IN 46107 | 2011-10-13 |
| 1275797847 | Kay Lynn Kolthoff | Registered Nurse | 1600 Albany Street, Beech Grove, IN 46107 | 2008-07-14 |
| 1699802439 | James Michael Souers | Dentist | 4140 S Emerson Ave, Beech Grove, IN 46107 | 2007-02-28 |
| 1871605055 | St Paul Hermitage Home | Nursing Facility/Intermediate Care Facility | 501 N 17th Avenue, Beech Grove, IN 46107 | 2006-08-31 |
| 1013931989 | David E. Crook | Anesthesiology | 1600 N. Albany St, Indianapolis, IN 46107 | 2006-07-26 |
| 1063409456 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2002 Albany St, Beech Grove, IN 46107 | 2005-09-30 |
| 1629075429 | Victoria Ann Othersen | Family Medicine | 2030 Churchman Ave # A, Beech Grove, IN 46107 | 2005-07-07 |
| 1215548144 | Grace Connelly | Speech-Language Pathologist | 501 N 17th Ave, Beech Grove, IN 46107 | 2020-08-13 |
| 1780995969 | Sharon Sue Taylor | Nurse Practitioner | 2030 Churchman Ave Ste A, Beech Grove, IN 46107-1044 | 2010-06-23 |
| 1124012729 | Claudet C Smith | Internal Medicine | 2030 Churchman Ave, Beech Grove, IN 46107-1044 | 2005-09-09 |
| Find all providers in zip 46107 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182988 | Allergy and Audiology Services of Northwest Indiana LLC | Otolaryngology | 900 Ridge Rd Ste E, Munster, IN 46321-1727 | 2020-04-06 |
| 1881221208 | Morgan Sandelski | Otolaryngology | 2015 Central Ave, Indianapolis, IN 46202-1634 | 2020-03-25 |
| 1922562339 | Transcend Anesthesia, PC | Otolaryngology | 1655 N Gladstone Ave Ste E, Columbus, IN 47201-5380 | 2019-01-30 |
| 1023523610 | Family Ent Specialists, LLC | Otolaryngology | 3200 Sycamore Ct Ste 1d, Columbus, IN 47203-1545 | 2017-12-05 |
| 1699295956 | David Joseph Trout | Otolaryngology | 816 Lazy Ln, Lafayette, IN 47904-2722 | 2017-06-27 |
| 1437687126 | Dhruv Sharma | Otolaryngology | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2017-05-25 |
| 1235585878 | Alhasan Najib Elghouche | Otolaryngology | 12860 University Cres, Apt 1a, Carmel, IN 46032-9472 | 2016-05-13 |
| 1093133415 | Bruce Jordan Hopkins | Otolaryngology | 1569 Preston Trl, Carmel, IN 46032-8970 | 2014-04-02 |
| 1861813776 | Rachael L Raffle | Otolaryngology | 1429 N 6th St Fl 3, Terre Haute, IN 47807-1019 | 2013-12-18 |
| 1043658818 | Jessica A. Yesensky | Otolaryngology | 1544 Carrollton Ave, Indianapolis, IN 46202-2717 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
| City | BEECH GROVE |
| Zip Code | 46107 |
Please comment or provide details below to improve the information on DR. GERALD CHARLES WALTHALL.
| 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.