Gary Donald Walters II, ARRT (R)(T)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

381130

Practice address

2013 Manada St
Harrisburg, PA 17104-2952

Phone

(717) 236-2530

NPI assigned

Sep 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1053747840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 MANADA ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042952",
            "telephone_number": "717-236-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 MANADA ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042952",
            "telephone_number": "717-236-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "GARY",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ARRT (R)(T)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": "381130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Janelle Wallen, DPT
• John Charles Wallendjack, MD
• Jennifer Hopkins Walsh, P.T.
• Lindsey G Walter, BCBA/LBS
• Ashley Walters
• Jamie L. Walters, P.A.
• Pamela A Walters, DO
• Timothy Ryan Walters, DMD
• Erin Cortney Waltz, MS, NCC, LPC
• Amber Wanner

• Radiologic Technologist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Radiologic Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.