Active NPI
Margaret a Walter MD PC
- Otolaryngology Physician
- Mishawaka, IN
National Provider Identifier
1205976560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- M14301069170
- Legal business name
- MARGARET A WALTER MD PC
- Practice address
- 15011 Day Road
Mishawaka, IN 46545 - Phone
- (574) 855-4110
- NPI assigned
- Feb 7, 2007
- Last updated
- Jun 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Anne Walter, MD
- Title
- Owner
- Phone
- (574) 855-4110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M14301069170 | MI | |
| Otolaryngology Physician | 207Y00000X | M14301069170 | MI | Primary |
| 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 names 1
- SW MI Ear Nose Throat & Sinus Center
National Provider Directory
National Provider DirectoryLocations
15011 Day Rd
Mishawaka, IN 46545
Phone (574) 534-3601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Mishawaka, IN
- NPI 1184609679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275868800000",
"number": "1205976560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15011 DAY ROAD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "46545",
"telephone_number": "574-855-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15011 DAY ROAD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "46545",
"telephone_number": "574-855-4110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARGARET A WALTER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2010-06-07",
"status": "A",
"authorized_official_last_name": "WALTER",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-855-4110",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "M14301069170",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": "M14301069170",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "IN",
"license": "0106644A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SW MI Ear Nose Throat & Sinus Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.