Ian B Walters, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

196684 Issued in NY

Practice address

5 Research Pkwy
Wallingford, CT 06492-1951

Phone

(203) 677-5752

Fax

(203) 677-6691

NPI assigned

Sep 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1316271471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOVERNORS LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068242106",
            "telephone_number": "203-292-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RESEARCH PKWY",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921951",
            "telephone_number": "203-677-5752",
            "fax_number": "203-677-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "IAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "196684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallingford Endoscopy Center, LLC.
• Wallingford Eye Care Center P.C.
• Wallingford Medical Associates LLC
• Wallingford Optical, LLC
• Wallingford Physical Therapy
• Kalani Walters
• Hongmei Wang
• Xiaowei Wang, PHARMD
• Marlene L. Waradzin, M.D.
• Rebecca Hunt Warner, LCSW

• Hematology & Oncology Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Hematology & Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.