MR. KONRAD PETER WALZ (NPI# 1952552168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952552168 |
| Entity Type | Individual |
| Full Name | MR. KONRAD PETER WALZ |
| Credential | CO |
| Practice Address |
130 W Kingsbridge Rd Bronx NY 10468-3904 |
| Practice Telephone | 7185849000 |
| Practice Fax Number | 7187414569 |
| Mailing Telephone | 7185849000 |
| Mailing Fax Number | 7187414569 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
130 W KINGSBRIDGE RD |
| City | BRONX |
| State | NY |
| Zip Code | 10468-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991185 | Solomon Nadler | Dentist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2005-06-02 |
| 1124628755 | Eka Beriashvili | Pharmacist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-11-01 |
| 1578170528 | Luisa Mejia | Radiology | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-24 |
| 1881208148 | Christina Heng | Nurse Practitioner | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-03 |
| 1629687710 | Maria Kyritsi | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-24 |
| 1013525336 | Adam Adam | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-22 |
| 1700494267 | Vaishali Geedigunta | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-21 |
| 1134737786 | Gavro Jelic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-20 |
| 1255959664 | Mirjana Barjaktarovic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-12 |
| 1124645171 | Olivia Castro | Respiratory Therapist, Registered | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538315403 | Center for Prosthetics And | Orthotist | 5650 Mosholu Ave, Bronx, NY 10471 | 2008-08-12 |
| 1952748162 | Kathryn E. Nilsen | Orthotist | 1250 Waters Pl, Tower One, Suite 702, Bronx, NY 10461-2720 | 2013-05-29 |
| 1154649069 | O & P Plus, LLC | Orthotist | 1650 Grand Concourse, 7th Floor Orthopedic Clinic, Bronx, NY 10457 | 2010-05-17 |
| 1558349779 | John P Cvitkovic | Orthotist | 1650 Grand Concourse, 7th Floor, Bronx, NY 10457-7606 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134082 | Remarkable Prosthetics & Orthotics Inc | Orthotist | 1763-1765 Dutch Broadway, Suite 2, Elmont, NY 11003 | 2020-11-06 |
| 1548882095 | Dme Solutions, LLC. | Orthotist | 130 Newbridge Rd, Hicksville, NY 11801-3967 | 2020-05-07 |
| 1912538364 | Thomas Testa | Orthotist | 1180 Lincoln Ave Unit 4, Holbrook, NY 11741-2285 | 2020-02-03 |
| 1114481231 | William Patrick Perdue | Orthotist | 60 Fleets Point Dr Ste 3, West Babylon, NY 11704-8314 | 2019-01-23 |
| 1699255406 | Michael Antonis Koullias | Orthotist | 1070 66th St, Brooklyn, NY 11219-5939 | 2018-08-21 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1851840714 | Vasilios Kehagias | Orthotist | 2305 Astoria Blvd, Astoria, NY 11102-4345 | 2016-10-03 |
| 1922556562 | Jonathan Scott Hess | Orthotist | 329 Route 211 E, Middletown, NY 10940-2804 | 2016-09-12 |
| 1487092995 | Frontrunners Inc. | Orthotist | 745 7th Ave., Super Runners Shop, New York, NY 10019 | 2013-06-06 |
| 1124374988 | Derrick Ko | Orthotist | 142-60 56th Rd., Flushing, NY 11355 | 2012-07-31 |
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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.