Organization Active NPI

Peter J Walton MD PA

  • Specialist
  • Tampa, FL
National Provider Identifier
1306067616
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0073900 Issued in FL
Legal business name
PETER J WALTON MD PA
Practice address
10933 Countryway Blvd
Tampa, FL 33626-2630
Phone
(813) 854-1919
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Mrs. Daneine M Durham
Title
Office Manager
Phone
(813) 854-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0073900 FL Primary

Addresses

Primary practice location

10933 Countryway Blvd
Tampa, FL 33626-2630

Mailing address

10933 Countryway Blvd
Tampa, FL 33626-2630
Phone (813) 854-1919

National Provider Directory

National Provider Directory

Locations

10933 Countryway Blvd
Tampa, FL 33626
Phone (813) 568-1131

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1306067616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10933 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262630",
            "telephone_number": "813-854-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10933 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262630",
            "telephone_number": "813-854-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J WALTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "DANEINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-854-1919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0073900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.