Stephan Milo Walz, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL75 Issued in FL

Practice address

4202 E Fowler Ave
Ath100
Tampa, FL 33620-8001

Phone

(813) 974-3506

Fax

(813) 974-8541

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Steve Walz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: swalz92348@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• University of South Florida

  • Health Maintenance Organization
  • Tampa, FL
  • NPI 1598118606
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1669444188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 GLENSIDE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244312",
            "telephone_number": "813-908-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 E FOWLER AVE",
            "address_2": "ATH100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336208001",
            "telephone_number": "813-974-3506",
            "fax_number": "813-974-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "STEPHAN",
        "middle_name": "MILO",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL75",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "WALZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacy M Walters
• Zachary Walters, PHARMD
• Brady Walther
• Karleen Marie Walton
• Peter John Walton, MD
• Kahley Wampler, PA-C
• Steffanie Andrea Wandall
• Amari Annemarie Wandell, BT
• Wang & Cortes Dental
• Chloe Wang, M.D.

• Athletic Trainer in Tampa, FL
• Providers in Tampa, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.