Gerald Keith Walters, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C-00072 Issued in MD

Practice address

600 N. Wolfe St Blalock 544
Johns Hopkins Medicine Division of Interventional Radio
Baltimore, MD 21287-4010

Phone

(410) 614-6938

Fax

(410) 955-0233

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: gwalters33980@direct.hopkinsmedicine.org

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104888015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PARK HILL CT",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "21047",
            "telephone_number": "443-686-0905",
            "fax_number": "410-879-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. WOLFE ST BLALOCK 544",
            "address_2": "JOHNS HOPKINS MEDICINE DIVISION OF INTERVENTIONAL RADIO",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212874010",
            "telephone_number": "410-614-6938",
            "fax_number": "410-955-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "GERALD",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0000072",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C-00072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Walters
• Daniel James Walters, MD
• Duane Walters
• Elizabeth Walters
• Elizabeth Ann Walters, LCSW-C
• James Kenneth Walters Jr., PHARM.D.
• Latoya Walters
• Precious M Walters
• Samantha Walters, RD, LDN
• Shanika D Walters

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.