Active NPI
Courtney Walters, M.D,
- Obstetrics & Gynecology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L1589
- Practice address
- 3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633 - Phone
- (817) 416-2229
- Fax
- (817) 416-3667
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | L1589 | TX | Primary |
Addresses
Primary practice location
3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633
Mailing address
3025 N Tarrant Pkwy Ste 150
Fort Worth, TX 76177-8633
Phone (817) 416-2229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7417349 | Other | TX | AETNA |
| 8G5671 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas Tech University Health Science Center School of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3025 N Tarrant Pkwy
Suite 150
Fort Worth, TX 76177-8633
Phone (972) 256-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1589 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Integrated Healthcare, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Macarthur Medical Center, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Macarthur Medical Center, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| North Texas - Mca LLC | Past | Accepting new patients |
Locations
3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229
1625 Lancaster Dr
Grapevine, TX 76051
Phone (214) 915-8502
3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100
245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229
Interoperability endpoints
- courtney.walters@wihcare.directbygreenway.com
- https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4
- courtney.walters.1@8654.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Euless, TX
- NPI 1326320367
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1588868343
-
- Obstetrics & Gynecology Physician
- Irving, TX
- NPI 1497982268
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1063495554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 N TARRANT PKWY STE 150",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761778633",
"telephone_number": "817-416-2229",
"fax_number": "817-416-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 N TARRANT PKWY STE 150",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761778633",
"telephone_number": "817-416-2229",
"fax_number": "817-416-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "COURTNEY",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L1589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7417349",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8G5671",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.