Margaret Ann Walter, M.D.
Individual provider Active NPI Otolaryngology Physician · Mishawaka, IN
NPI 1184609679 · NPPES record last updated May 11, 2010
Key facts
- NPI
- 1184609679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- M14301069170 (MI)
- Practice address
- 15011 Day Road
Mishawaka, IN 46545 - Phone
- (574) 855-4110
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106644A | IN | MD | Otolaryngology Physician |
| M14301069170 | MI | MD | Otolaryngology Physician |
| 4301069170 | MI | MD | Otolaryngic Allergy Physician |
| 01066444A | IN | MD | Otology & Neurotology Physician |
| MI4301069170 | MI | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret a Walter MD PC | Otolaryngology | Past |
Accepting new patients |
| Sneeze & Snooze Clinic, P C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | MI4301069170 | MI | |
| Otolaryngology Physician | 207Y00000X | 4301069170 | MI | |
| Facial Plastic Surgery Physician | 207YS0123X | 4301069170 | MI | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 4301069170 | MI | |
| Pediatric Otolaryngology Physician | 207YP0228X | 4301069170 | MI | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 4301069170 | MI | |
| Otolaryngology Physician | 207Y00000X | 01066444A | IN | |
| Facial Plastic Surgery Physician | 207YS0123X | 01066444A | IN | |
| Pediatric Otolaryngology Physician | 207YP0228X | 01066444A | IN | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 01066444A | IN | |
| Otolaryngic Allergy Physician | 207YX0602X | 01066444A | IN | |
| Otolaryngic Allergy Physician | 207YX0602X | 4301069170 | MI | |
| Otology & Neurotology Physician | 207YX0901X | 01066444A | IN | |
| Otolaryngology Physician | 207Y00000X | M14301069170 | MI | Yes |
| Otolaryngology Physician | 207Y00000X | 0106644A | IN |
Addresses
Primary practice location
15011 Day Road
Mishawaka, IN 46545
Mailing address
15011 Day Road
Mishawaka, IN 46545
Phone (574) 855-4110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3322302 | Medicaid | MI |
Other providers in Mishawaka, IN
- Macie Wallace
- Lillian Renee Wallis
- Stephanie Walsh
- Elise L Walter
- Joseph Walter
- Nicholas Joseph Walter
- Janiyah Naysha-Nikkole Walton
- Lileann Jean Waltz
- Diane Marie Wandling
- Arthur F Wang
All providers in Mishawaka, IN · Otolaryngology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.