NPIMap

Individual provider Active NPI

Donald Arthur Walters, D.O.

  • Gastroenterology Physician
  • Butler, PA
National Provider Identifier
1053349779
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0S007169L Issued in PA
Practice address
104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone
(724) 482-6062
Fax
(724) 482-6117
NPI assigned
Jun 29, 2006
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0S007169L PA Primary

Addresses

Primary practice location

104 Technology Dr
Suite 202
Butler, PA 16001-1801

Mailing address

104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone (724) 482-6062

Other identifiers 1

IdentifierTypeStateIssuer
0016474610008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000771 PA Practitioner - Gastroenterology 3870782816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

104 Technology Dr
Suite 202
Butler, PA 16001-1801
Phone (833) 391-0654

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy173
Upper gastrointestinal (GI) endoscopy for acid reflux155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S007169LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Oct 1, 2017 Accepting new patients
Butler Medical Providers CurrentSince Oct 1, 2017 Accepting new patients
Butler Medical Providers Gastroenterology Current Accepting new patients
Keystone Digestive Disorder Consultants, PC Gastroenterology Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

102 Technology Dr
Ste 230
Butler, PA 16001
Phone (724) 283-0076

104 Technology Dr
Ste 202
Butler, PA 16001
Phone (724) 482-6062

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

304 Evans Dr
Ste 401
Ellwood City, PA 16117
Phone (724) 752-6856

Interoperability endpoints

  • Direct secure messaging: donald.walters@direct-address.net
  • Direct secure messaging: donaldwalters@bg.allscriptsdirect.net

Organizations & group practices 7

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1053349779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-6062",
            "fax_number": "724-482-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011801",
            "telephone_number": "724-482-6062",
            "fax_number": "724-482-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "DONALD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "0S007169L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016474610008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.