Individual provider Active NPI

Walter Litzlbauer

  • Driver
  • Indianapolis, IN
National Provider Identifier
1154747913
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
0920283760 Issued in IN
Practice address
338 N Holmes Ave
Indianapolis, IN 46222-3702
Phone
(317) 602-8046
NPI assigned
Mar 17, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 0920283760 IN Primary

Addresses

Primary practice location

338 N Holmes Ave
Indianapolis, IN 46222-3702

Mailing address

338 N Holmes Ave
Indianapolis, IN 46222-3702
Phone (317) 602-8046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0920283760INMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
A-Tin Transport LLC Current Accepting new patients
A-Tin Transport LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1154747913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 N HOLMES AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223702",
            "telephone_number": "317-602-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N HOLMES AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223702",
            "telephone_number": "317-602-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITZLBAUER",
        "first_name": "WALTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IN",
            "license": "0920283760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.