Active NPI
Walter Duane Hinshaw, D.O.
- Family Medicine Physician
- Garland, TX
National Provider Identifier
1063622322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3019
- Practice address
- 2201 Forest LN
Garland, TX 75042-7957 - Phone
- (972) 276-6822
- Fax
- (972) 487-4060
- NPI assigned
- May 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3019 | TX | Primary |
Addresses
Primary practice location
2201 Forest LN
Garland, TX 75042-7957
Mailing address
2201 Forest LN
Garland, TX 75042-7957
Phone (972) 276-6822
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040809000116 | TX | Practitioner - Family Practice | 5193797660 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3019 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1063622322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 FOREST LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427957",
"telephone_number": "972-276-6822",
"fax_number": "972-487-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 FOREST LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427957",
"telephone_number": "972-276-6822",
"fax_number": "972-487-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINSHAW",
"first_name": "WALTER",
"middle_name": "DUANE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E3019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
- Matthew D. Hill, DDS
- Shayna Hill, LPC
- Himmelsehr Chiropractic
- Craig Ronald Himmelsehr, D.C.
- Aimee E Hinshaw, FNP-C
- Jessie Faye Hinton-Omere
- His Mercies Consulting & Counseling Services
- Hitesh Pandya PLLC
- Hiyh Medical Services & Repairs
- HMG Garland SNF Operations, LP (Winters Park Nursing and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.