Olivia T Walsh (NPI# 1508301201, PAC ID# 4789967100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508301201 |
| PAC ID by PECOS | 4789967100 |
| Professional Enrollment ID | I20170209001495 |
| Full Name | Olivia T Walsh |
| Organization Legal Name | DECATUR ORTHOPAEDIC CLINIC LLC |
| Address |
1103 16th Ave Se Decatur AL 35601-3595 |
| Phone Number | 2563500362 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193742823 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010131 | CRESTWOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1103 16th Ave Se, Decatur, AL 35601-3595 | 2563500362 | DECATUR ORTHOPAEDIC CLINIC LLC |
| 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2568815151 | SPORTSMED ORTHOPAEDIC SPECIALISTS |
| 4769 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2563198500 | SPORTSMED ORTHOPAEDIC SPECIALISTS |
| Organization Legal Name | DECATUR ORTHOPAEDIC CLINIC LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Pace Hollimon | Nurse Practitioner | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Patrick G Swinea | Physical Therapy | Decatur Orthopaedic Clinic LLC | 1117 16th Ave Se, Decatur, AL 35601-3534 |
| Russell L Ellis | Physical Medicine and Rehabilitation | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Justin Lloyd Daigre | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Jeffery Lynn Williams | Physical Therapy | Decatur Orthopaedic Clinic LLC | 1117 16th Ave Se, Decatur, AL 35601-3534 |
| John R Riehl | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Rebecca Stephenson | Nurse Practitioner | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Robert S Tapscott | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Jeremy Keith Urban | Nurse Practitioner | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Richard Sharp | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Street Address |
1103 16TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip | 35601-3595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Pace Hollimon | Nurse Practitioner | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Russell L Ellis | Physical Medicine and Rehabilitation | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Justin Lloyd Daigre | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Charles Leon Preston | Physician Assistant | Huntsville Hospital Spine and Neuro Center | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| John R Riehl | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Rebecca Stephenson | Nurse Practitioner | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Robert S Tapscott | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Chad A Truman | Physician Assistant | Huntsville Hospital Spine and Neuro Center | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Jeremy Keith Urban | Nurse Practitioner | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Richard Sharp | Orthopedic Surgery | Decatur Orthopaedic Clinic LLC | 1103 16th Ave Se, Decatur, AL 35601-3595 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hugh C Nabers | General Surgery | 1215 7 Th St Se, Suite 190, Decatur, AL 35601 | |
| David A Lang | Chiropractic | 2314 6th Ave Se, Suite C, Decatur, GA 35601 | |
| Katherine Wilson | Nurse Practitioner | Alabama Bariatrics and Minimally Invasive Surgery PC | 705 Bank St Ne, Decatur, AL 35601-1609 |
| William J Suggs | General Surgery | Alabama Bariatrics and Minimally Invasive Surgery PC | 705 Bank St Ne, Decatur, AL 35601-1609 |
| Jere H Weaver | Dermatology | 802 Bank St Ne, Decatur, AL 35601-1612 | |
| Sammy F Becdach | Hematology/oncology | Oncology Specialties, P.C. | 310 8th Ave Ne, Decatur, AL 35601-2420 |
| Samantha Wyatt | Dermatology | 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 | |
| Sherri L Cohen | Clinical Social Worker | 255 Grant St Se, Suite 303, Decatur, AL 35601-2505 | |
| Lesley W Smothers | Physical Therapy | Peak Physical Therapy and Wellness | 216 Johnston St Se, Decatur, AL 35601-2516 |
| Lisa L Gault | Physical Therapy | Peak Physical Therapy and Wellness | 216 Johnston St Se, Decatur, AL 35601-2516 |
| Find all physicians in zip 35601 | |||
| City | DECATUR |
| Zip Code | 35601 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DECATUR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Olivia T Walsh.
| 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.