Active NPI
Walter Channing Noble, M.D.
- Surgery Physician
- Traverse City, MI
National Provider Identifier
1184616716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- WN403223
- Practice address
- 1221 Sixth St Ste 300
Traverse City, MI 49684-2360 - Phone
- (231) 935-2400
- Fax
- (231) 935-2424
- NPI assigned
- Aug 19, 2005
- Last updated
- Aug 1, 2019
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | WN403223 | MI | Primary |
Addresses
Primary practice location
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Mailing address
1221 6TH St
Suite 306
Traverse City, MI 49684-2359
Phone (231) 935-2400
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WN403223 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1184616716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 6TH ST",
"address_2": "SUITE 306",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842359",
"telephone_number": "231-935-2400",
"fax_number": "231-935-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 SIXTH ST STE 300",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842360",
"telephone_number": "231-935-2400",
"fax_number": "231-935-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "WALTER",
"middle_name": "CHANNING",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "WN403223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.