DR. DAVID M WALTER (NPI# 1952412066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952412066 |
| Entity Type | Individual |
| Full Name | DR. DAVID M WALTER |
| Credential | M.D. |
| Practice Address |
489 State Street Emmc - Bangor ME 04401-0404 |
| Mailing Address |
489 State Street Eastern Maine Medical Center Bangor ME 04401-0404 |
| Practice Telephone | 2079737556 |
| Practice Fax Number | 2079737674 |
| Mailing Telephone | 2079737556 |
| Mailing Fax Number | 2079737674 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
009426 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598117863 | David Walter | Counselor | 25955 W 327th St, Paola, KS 66071-4920 | 2016-07-11 |
| 1417230079 | David Walter | Pharmacist | 54 Elliott St, Beverly, MA 01915-3359 | 2011-09-21 |
| 1487868394 | David Walter | Psychiatry & Neurology | 1577 Congress St, Portland, ME 04102-2133 | 2007-05-09 |
| 1215981097 | David S Walter | Family Medicine | 3009 N Saginaw Rd, Midland, MI 48640-4555 | 2006-05-19 |
| 1730175449 | David H Walter | Psychologist | 1840 N Hacienda Blvd, Suite 2, La Puente, CA 91744-1143 | 2005-09-27 |
| Street Address |
489 STATE STREET EMMC - |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-0404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679595433 | John Nowak | Physician Assistant | 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 | 2006-07-24 |
| 1528506300 | Megan Grant Buckley | Registered Nurse | 489 State Street, Kagan Building, Level 2, Bangor, ME 04401-6616 | 2017-02-01 |
| 1992180483 | Gineen Afeisha Theresa Cudjoe | Hospitalist | 489 State Street, Kelley 6, Bangor, ME 04401 | 2015-07-25 |
| 1538542931 | Harleen Kaur Dehal | Internal Medicine | 489 State Street, Kelley 6, Bangor, ME 04401 | 2015-07-02 |
| 1881947075 | Ann J Parsons | Nurse Practitioner | 489 State Street, Kagan 2, Bangor, ME 04401 | 2012-10-25 |
| 1265780316 | Taibah Ali Alabdrabalnabi | Emergency Medicine | 489 State Street, Northern Light Eastern Maine Medical Center, Bangor, ME 04401 | 2012-08-21 |
| 1619240652 | David James Martin | Student in an Organized Health Care Education/Training Program | 489 State Street, Bangor, ME 04401-6616 | 2012-02-22 |
| 1285946111 | Aimen A. Houni | Anesthesiology | 489 State Street, Emmc, Bangor, ME 04401-6616 | 2010-07-08 |
| 1457528010 | Mahmoud Hamdy Ibrahim Kamel | Neurological Surgery | 489 State Street, Eastern Maine Medical Center / Dept. of Neurosurgery, Bangor, ME 04401 | 2008-05-13 |
| 1447423405 | Allison Cosslett Kulikowski | Hospitalist | 489 State Street, Bangor, ME 04401 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1255360582 | Mark S Brown | Pediatrics | Nicu Professional Services-emmc, 489 State Street, Bangor, ME 04401 | 2006-06-30 |
| 1245267335 | Ann Boomer | Pediatrics | Nicu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404 | 2006-06-26 |
| 1447264494 | Mary Elizabeth Black | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2006-07-27 |
| 1740211283 | John Jay Hagerty | Pediatrics | 489 State St, Nicu Professional Services Emmc, Bangor, ME 04401-6616 | 2006-07-05 |
| 1821026055 | Macario F. Lichauco | Pediatrics | 489 State St, Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401-6616 | 2006-06-28 |
| 1619948668 | Tracy Kendrew Stevens | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2006-01-29 |
| 1790761997 | Kumar Akilesh | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2005-12-20 |
| 1558345652 | Jay Kerecman | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780868778 | William Lee Salomon | Pediatrics | 79 Cobb Rd, Poland, ME 04274-6361 | 2007-12-26 |
| 1124148390 | Douglas Dransfield | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2007-03-30 |
| 1124158522 | Michael Vozzelli | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2007-03-06 |
| 1023148509 | Stephanie Boggs | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2007-03-06 |
| 1548390974 | Dale Kessler | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2007-03-06 |
| 1053441410 | Daniel Sobel | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2007-03-06 |
| 1275663775 | Peter Marro | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2007-03-06 |
| 1831229277 | Brenda Medlin | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2007-03-06 |
| 1417087883 | Maine Neonatology Associates | Pediatrics | 22 Bramhall St, Portland, ME 04102-3175 | 2007-03-06 |
Please comment or provide details below to improve the information on DR. DAVID M WALTER.
| 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.