Individual provider Active NPI

Raymond James Walsh, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1306983093
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23828 Issued in OK
Practice address
4424 Black Otter TRL
Dallas, TX 75287-5106
Phone
(214) 608-4941
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-2104 GU
Emergency Medicine Physician 207P00000X M4977 TX
Emergency Medicine Physician 207P00000X 23828 OK Primary

Addresses

Primary practice location

4424 Black Otter TRL
Dallas, TX 75287-5106

Mailing address

4636 N Josey LN Apt 2611
Carrollton, TX 75010-4646
Phone (214) 608-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GU2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080502000421 TX Practitioner - Emergency MedicinePractitioner - Family Practice 6901985860 Reassigns benefits to 5 organizations
I20180409000501 GU Practitioner - Emergency Medicine 6901985860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation CurrentSince Mar 29, 2021 Accepting new patients
Emergency Staffing Solutions of West Texas LLC Emergency Medicine CurrentSince Sep 21, 2015 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Mar 19, 2017 Accepting new patients
Legacy Urgent Care, PA CurrentSince Oct 5, 2015 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Apr 1, 2018 Accepting new patients
Texas Em-1 Medical Services PA Emergency Medicine Past Accepting new patients
Freestone Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Franklin Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Lamar Emergency Group PA Emergency Medicine Past Accepting new patients
Upshur Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
PRMC ER Group Inc Past Accepting new patients
Washita Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Lone Star Emergency Associates, LLC Emergency Medicine Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine Past Accepting new patients
Camp Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Victoria Emergency Associates LLC Emergency Medicine Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

3500 Gaston Ave
Dallas, TX 75246

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

2810 S Hardin Blvd
Ste 1
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1306983093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 N JOSEY LN APT 2611",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104646",
            "telephone_number": "214-608-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 BLACK OTTER TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752875106",
            "telephone_number": "214-608-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "RAYMOND",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GU",
            "license": "M-2104",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4977",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "23828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.