Mary G Walter (NPI# 1023449642, PAC ID# 2567687767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023449642 |
| PAC ID by PECOS | 2567687767 |
| Professional Enrollment ID | I20161003001632 |
| Full Name | Mary G Walter |
| Organization Legal Name | AXIS HEALTHCARE GROUP |
| Address |
25500 Point Lookout Rd Leonardtown MD 20650-2015 |
| Phone Number | 2023604787 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254409550 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210039 | CALVERTHEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2023604787 | AXIS HEALTHCARE GROUP |
| 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2023604787 | AXIS HEALTHCARE GROUP |
| 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980 | 4105355400329 | CALVERT COUNTY HEALTH DEPARTMENT |
| Organization Legal Name | AXIS HEALTHCARE GROUP |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Immaculata M Ulu | Nurse Practitioner | Axis Healthcare Group | 20945 Great Mills Rd, Suite 203, Lexington Pk, MD 20653-5302 |
| John M Mcgraw | Psychiatry | Axis Healthcare Group | 100 Hospital Rd, Prince Frederick, MD 20678-4017 |
| Elizabeth H Deoreo | Psychiatry | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Brian J Masterson | Internal Medicine | Axis Healthcare Group | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Dida K Ganjoo | Psychiatry | Axis Healthcare Group | 1310 Southern Ave Se, Washington, DC 20032-4623 |
| Shanique T Cartwright | Psychiatry | Axis Healthcare Group | 1310 Southern Ave Se, Washington, DC 20032-4623 |
| Waritta K Howell | Physician Assistant | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Khaled A Khalafallah | Psychiatry | Axis Healthcare Group | 10400 Connecticut Ave, Suite 500, Kensington, MD 20895-3944 |
| Surendra Kandel | Psychiatry | Axis Healthcare Group | 7503 Surratts Rd, Clinton, MD 20735-3358 |
| Richard M Chvotkin | Clinical Social Worker | Axis Healthcare Group | 10400 Connecticut Ave, Suite 500, Kensington, MD 20895-3944 |
| Street Address |
25500 POINT LOOKOUT RD |
| City | LEONARDTOWN |
| State | MD |
| Zip | 20650-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Thomas | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Bruce R Gibson | Critical Care (intensivists) | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Thomas Jay Finkelston | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Brian P Swehla | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| William M Mahaffey | General Surgery | Healogics Specialty Physicians of Maryland LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Kelly Petz | Certified Registered Nurse Anesthetist (crna) | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Arie Neymotin | Diagnostic Radiology | Medstar Medical Group Radiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Clyde W Pray | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Elizabeth H Deoreo | Psychiatry | Axis Healthcare Group | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Ikenna Nwachukwu | Internal Medicine | St Marys Hospital of St Marys County Inc | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Marie Miller | Physician Assistant | Verghese and Ling M.d.p.a. | 26840 Point Lookout Rd, Leonardtown, MD 20650 |
| Sabrina A Sepulveda | Nurse Practitioner | 41630 Couthouse Dr, Leonardtown, MD 20650 | |
| Rhonda Cox | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Danielle Luray Guy | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Bonnie L Torres | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Jeremy Thurman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Lauren Snyder | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Aaron Bauer | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Richard S Hageman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Laura P Ward | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
| Find all physicians in zip 20650 | |||
| City | LEONARDTOWN |
| Zip Code | 20650 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEONARDTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary G Walter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.