Active NPI
Travis Kent Walsh, D.O.
- Nuclear Imaging & Therapy Physician
- Tucson, AZ
National Provider Identifier
1336152727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- 2600
- Practice address
- 3601 S 6TH Ave
Nuclear Medicine 6-115 Savahcs
Tucson, AZ 85723-0001 - Phone
- (520) 629-1832
- Fax
- (520) 629-4910
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 2600 | AZ | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Nuclear Medicine 6-115 Savahcs
Tucson, AZ 85723-0001
Mailing address
7143 N Chimney Rock PL
Tucson, AZ 85718-1311
Phone (520) 577-3354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2600 | AZ | MD | Nuclear Imaging & Therapy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336152727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7143 N CHIMNEY ROCK PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857181311",
"telephone_number": "520-577-3354",
"fax_number": "520-577-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"address_2": "NUCLEAR MEDICINE 6-115 SAVAHCS",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-629-1832",
"fax_number": "520-629-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "TRAVIS",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "AZ",
"license": "2600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.