Douglas Walsh (NPI# 1306860119, PAC ID# 8628318961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1306860119 |
| PAC ID by PECOS | 8628318961 |
| Professional Enrollment ID | I20190322000809 |
| Full Name | Douglas Walsh |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF CENTRAL NEW YORK PLLC |
| Address |
4110 Medical Ctr Dr Fayetteville NY 13066-6613 |
| Phone Number | 3156630100 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0446358063 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 | 3156630100 | DERMATOLOGY ASSOCIATES OF CENTRAL NEW YORK PLLC |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF CENTRAL NEW YORK PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Bouchard | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Casey Mayer | Nurse Practitioner | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Lindsey Sampo | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Jenaye Karin Broe | Nurse Practitioner | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Amin Fazeli | Dermatology | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Shelly Lynn Crossman | Nurse Practitioner | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Melissa Siobhan Roe | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Pedro J Delpino | General Surgery | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Vadjista Broumand | Internal Medicine | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Adam W Paddock | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Street Address |
4110 MEDICAL CTR DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip | 13066-6613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Bouchard | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Casey Mayer | Nurse Practitioner | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Lindsey Sampo | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Jenaye Karin Broe | Nurse Practitioner | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Amin Fazeli | Dermatology | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Shelly Lynn Crossman | Nurse Practitioner | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Melissa Siobhan Roe | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Pedro J Delpino | General Surgery | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Vadjista Broumand | Internal Medicine | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Adam W Paddock | Physician Assistant | Dermatology Associates of Central New York Pllc | 4110 Medical Ctr Dr, Fayetteville, NY 13066-6613 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Kellman | Otolaryngology | St Josephs Medical PC | 4100 Medical Ctr Dr, Suite 117, Fayetteville, NY 13066 |
| Francis J Durgin | Psychiatry | 6836 E Genesee St, Fayetteville, NY 13066-1024 | |
| Patricia G Barletta | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Alyssa Bovalino | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Jason E Falcone | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Glenn J Gilberg | Physician Assistant | Wellnow Urgent Care PC | 6870 E Genesee St, Fayetteville, NY 13066-1031 |
| Joseph Novek | Podiatry | 6950 E Genesee St, Fayetteville, NY 13066-1036 | |
| Michael A Giordano | Chiropractic | 6858 E Genesee St, The Family Chiro Ctr, Fayetteville, NY 13066-1051 | |
| Stanton Tepfer | Optometry | Empire Vision Center Inc | 6859 E Genesee St, Fayetteville, NY 13066-1086 |
| Taryn A Bader | Physical Therapy | Onondaga Physical Therapy, LLC | 6800 E Genesee St, Fayetteville, NY 13066-1089 |
| Find all physicians in zip 13066 | |||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
| Specialty | DERMATOLOGY |
| City + Specialty | FAYETTEVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Douglas 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.