JOHN ALAN WALSH (NPI# 1932271541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932271541 |
| Entity Type | Individual |
| Full Name | JOHN ALAN WALSH |
| Credential | MD |
| Practice Address |
530 Zeagler Dr Suite 3 Palatka FL 32177-6855 |
| Practice Telephone | 3863280245 |
| Practice Fax Number | 3863288510 |
| Mailing Telephone | 3863280245 |
| Mailing Fax Number | 3863288510 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME78805 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTHEASE MEDICAID | 225976 | 01 |
| FL | RAILROAD MEDICARE | P00119721 | 01 |
| FL | 268707100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467881011 | John Walsh | Pharmacy Technician | 9230 Luna Ave, Morton Grove, IL 60053-1542 | 2013-11-04 |
| 1841536794 | John Michael Walsh | Counselor | 2052 3rd Ave, Rock Island, IL 61201-8803 | 2012-12-21 |
| 1538419841 | John Michael Walsh | Psychologist | 310 Camino De La Placita, Taos, NM 87571-5951 | 2012-09-13 |
| 1295029478 | John Arthur Walsh | Pharmacist | 22 John Alden Cir, Bellingham, MA 02019-1263 | 2011-06-05 |
| 1386893089 | John T. Walsh | Physician Assistant | 625 W Citracado Pkwy Suite 108, Escondido, CA 92025 | 2008-09-17 |
| 1609030873 | John M. Walsh | Veterinarian | 123 Foothill Rd, Flemington, NJ 08822-7043 | 2008-07-16 |
| 1407981525 | John Thomas Walsh | Counselor | 68 Hollis St., Groton, MA 01450-0073 | 2007-02-22 |
| 1558431544 | John Joseph Walsh Jr. | Orthopaedic Surgery | 1175 Mainsail Dr Unit 702, Naples, FL 34114-8870 | 2006-11-08 |
| 1740384338 | John J Walsh | Family Medicine | 7632 W North Ave, Elmwood Park, IL 60707 | 2006-09-12 |
| 1699887315 | John Walsh | Counselor | 5101 Magnolia Bay Cir, Palm Beach Gardens, FL 33418-6734 | 2006-08-31 |
| Street Address |
530 ZEAGLER DR SUITE 3 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-6855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717470 | Miguel M Limeres Jr. | Internal Medicine | 530 Zeagler Dr, Suite 102, Palatka, FL 32177-6856 | 2005-08-22 |
| 1609268077 | Miles C Anderson, Md | Internal Medicine | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2015-02-23 |
| 1467524298 | John L Gaines Jr Md Pa | Internal Medicine | 530 Zeagler Dr, Ste A, Palatka, FL 32177-6855 | 2006-11-15 |
| 1275589152 | John A Walsh Md Pa | Specialist | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2006-05-25 |
| 1811965189 | Alfreda Rennae Marshall | Nurse Practitioner | 530 Zeagler Dr, Suite #2, Palatka, FL 32177-6855 | 2006-03-10 |
| 1508847021 | John L Gaines Jr. | Internal Medicine | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| 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 |
|---|---|---|---|---|
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
| 1528484516 | Rolando Sanchez | Surgery | 4039 W Kennedy Blvd, Tampa, FL 33609-2751 | 2014-03-14 |
| Find all providers with the same taxonomy | ||||
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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.