Kenneth Wallmeyer, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2006-01504 Issued in NC

Practice address

306 Westwood Ave
Suite 401
High Point, NC 27262-4341

Phone

(336) 885-6168

Fax

(336) 885-8523

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Carolina Regional Heart Center

  • Specialist
  • High Point, NC
  • NPI 1194854646
  NPD (past)
• Cornerstone Health Care PA

  • Cardiovascular Disease Physician
  • Statesville, NC
  • NPI 1275914046
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1104911528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "STE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WESTWOOD AVE",
            "address_2": "SUITE 401",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624341",
            "telephone_number": "336-885-6168",
            "fax_number": "336-885-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLMEYER",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2006-01504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00654539",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905908",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailey Rachel Walker
• Terri L Walker, CRNA
• George Marvin Wallace, D. D. S.
• Melanie E Wallace
• Tyshaundra Renee Wallace, M.ED, LCASA, QP
• Johnette Walser, LCSWA
• Yun Wang
• Meredith R Wansley, RD
• Mark Joseph Warburton, MD
• Pamela Gladney Ward, RPH

• Cardiovascular Disease Physician in High Point, NC
• Providers in High Point, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.