Active NPI
Dr. Timothy C Walters PA
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1326814807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DR. TIMOTHY C WALTERS PA
- Practice address
- 2700 Quarry Lake Dr Ste 290
Baltimore, MD 21209-3744 - Phone
- (410) 484-8398
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- 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
- Timothy C Walters
- Title
- Physician / Owner
- Phone
- (410) 484-8398
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2700 Quarry Lake Dr Ste 290
Baltimore, MD 21209-3744
Mailing address
2700 Quarry Lake Dr Ste 290
Baltimore, MD 21209-3744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1326814807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR STE 290",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR STE 290",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093744",
"telephone_number": "410-484-8398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. TIMOTHY C WALTERS PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICIAN / OWNER",
"authorized_official_telephone_number": "410-484-8398"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Dr. Norman F. Spector, P.a.
- Dr. Robert Scott Rieder D.P.M.
- Dr. Sally T. Mejia
- Dr. Sharon Denise Ringgold
- Dr. Swartz Imaging of Maryland (National Medical Imaging)
- Dr. Wilhelmsen & Associates, P.a.
- Cinthia I Drachenberg, M.D.
- Emilene Susanne Drager, RN
- Kelly Lynn Drake, PH.D.
- Lauren Elizabeth Drake, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.