Dr. Michele Marie Walters
Radiology (Diagnostic Radiology)

Address: 75 Francis St, Boston, MA 02115-6110
Phone: 6172780702

Dr. Michele Marie Walters (NPI# 1396817300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396817300
Entity Type Individual
Full Name Dr. Michele Marie Walters
Credential MD
Gender Female
Practice Address 75 Francis St
Boston
MA 02115-6110
Practice Telephone 6172780702
Mailing Address 47 Joy St
Apartment 4
Boston
MA 02114-4042
Mailing Telephone 6175231076
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-14
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 221338 MA

Other Providers MICHELE WALTERS

NPI Name Taxonomy Address Enumeration
1285992248 Michele Leigh Walters Counselor 500 Us Route 1 Ste 102, Yarmouth, ME 04096-6816 2012-04-27
1750334975 Michele A Walters Nurse Practitioner 1028 E Main St, St. Claire Family Medicine Express, Morehead, KY 40351-1328 2006-05-18
1992082119 Michele Marie Walters Speech-Language Pathologist 1193 Warburton Ave, Yonkers, NY 10701-1002 2011-11-16

Physician Overview

NPI 1396817300
PAC ID by PECOS 3577625805
Professional Enrollment ID I20081222000207
Full Name Michele M Walters
Organization Legal Name CHILDREN'S HOSPITAL RADIOLOGY FOUNDATION, INC.
Phone Number 6173556000
Gender F
Medical School UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 6901800861
Number of Group Practice Members 39
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
223302 BOSTON CHILDREN'S HOSPITAL

Office Location

Street Address 75 FRANCIS ST
City BOSTON
State MA
Zip Code 02115-6110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980370 Michael W Groff Specialist 75 Francis St, Neurosurgery, Boston, MA 02115-6110 2005-05-27
1245797174 Nada Hamad S Almenieir Student in an Organized Health Care Education/Training Program 75 Francis St, Boston, MA 02115-6110 2019-02-27
1285190744 Paolo Junior Fantozzi Dentist 75 Francis St, Boston, MA 02115-6110 2019-02-20
1255897047 Rahul Sarkar Student in an Organized Health Care Education/Training Program 75 Francis St, Boston, MA 02115-6106 2019-02-16
1346706728 John F Dillingham Physical Therapist 75 Francis St, Boston, MA 02115-6110 2019-02-11
1215492608 Megan Maloney Student in an Organized Health Care Education/Training Program 75 Francis St, Boston, MA 02115-6106 2019-02-10
1104381698 Lauren Elizabeth Carter Physical Therapist 75 Francis St, Boston, MA 02115-6106 2019-02-08
1114482775 Kent James Greep Student in an Organized Health Care Education/Training Program 75 Francis St, Boston, MA 02115-6110 2019-02-07
1003371659 Mordechai Golomb Student in an Organized Health Care Education/Training Program 75 Francis St, Boston, MA 02115-6110 2019-02-07
1972068583 Kirby Elizabeth Smith Physical Therapist 75 Francis St, Boston, MA 02115-6106 2019-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568920445 Faisal Jamal Student in an Organized Health Care Education/Training Program Bwh, 75 Francis Street, Boston, MA 02115 2019-03-09
1134692460 Molly Elizabeth Parker Physician Assistant 336 Huntington Ave, Boston, MA 02115 2019-01-09
1700355419 Pgn Associates Dentist 238 Newbury St., Boston, MA 02115 2018-11-26
1225504830 Alexandra Volpacchio Student in an Organized Health Care Education/Training Program 75 Fenwood Road, Boston, MA 02115 2018-10-22
1245713692 Yun June Angela Tan Student in an Organized Health Care Education/Training Program Boston Childrens Hospital Department of Anesthesiology, 300 Longwood Avenue Bch 3216, Boston, MA 02115 2018-09-12
1558847269 Kenneth Quadros Student in an Organized Health Care Education/Training Program Birgham and Womens Hospital, Division of Cardiology, 45 Francis St, Boston, MA 02115 2018-07-16
1508352048 Jillian Patricia Walsh Student in an Organized Health Care Education/Training Program Brigham & Women's Hospital, Vascular and Endovascular S, 75 Francis St, Boston, MA 02115 2018-07-09
1144715798 Benjamin David Goodlett Psychologist 300 Longwood Ave Fegan 4 Genetics, Boston, MA 02115 2018-06-26
1548751670 Raquelle Mesholam-gately Psychologist Massachusetts Mental Health Center, 75 Fenwood Road, 5th Floor, Boston, MA 02115 2018-05-24
1043715592 Olivia Foley Student in an Organized Health Care Education/Training Program Bwh, Department of Ob/gyn Residency Program, Francis Street, Asb1-3-608a, Boston, MA 02115 2018-03-27
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851870992 Robert Kevin Moreland Radiology 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 2018-08-09
1790270239 Rahul Gujrathi Radiology 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 2018-06-27
1922517713 Arwa Alzaghal Radiology Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 2017-09-25
1467983106 Donghoon Derek Shin Radiology 820 Harrison Ave # Fgh3022, Boston, MA 02118 2017-03-24
1760832075 Juan Carlos Villa Camacho Radiology 55 Fruit St # St242, Boston, MA 02114-2621 2016-06-16
1033573407 Ashwin Jain Radiology 715 Albany St # 3007, Boston, MA 02118-2526 2016-04-11
1679956049 Robert T. Bramson Radiology 48 Beacon St Apt 9r, Boston, MA 02108-3607 2015-07-03
1467864876 Daniel Gatto Hechavarria Radiology 55 Fruit St Ste 210, Boston, MA 02114-2621 2014-05-20
1083053078 Thomas Joseph Anderson Radiology 330 Brookline Ave., Shapiro Clinical Center 4th Floor, Department of Radiology, Beth Israel Deaconess Medical, Boston, MA 02215 2013-06-23
1396184586 Pedram Heidari Radiology 55 Fruit St # 427, Boston, MA 02114-2621 2013-06-20
Find all providers in BOSTON

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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