Active NPI
Mark Daniel Walrod, M.D.
- Family Medicine Physician
- Concord, NH
National Provider Identifier
1336383553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16851
- Practice address
- 18 Foundry St
Suite 201
Concord, NH 03301-5421 - Phone
- (603) 228-0071
- Fax
- (603) 228-7014
- NPI assigned
- May 1, 2009
- Last updated
- Nov 13, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | RT2167 | NH | |
| Family Medicine Physician | 207Q00000X | 16851 | NH | Primary |
Addresses
Primary practice location
18 Foundry St
Suite 201
Concord, NH 03301-5421
Mailing address
18 Foundry St
Suite 201
Concord, NH 03301-5421
Phone (603) 228-0071
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16851 | NH | MD | Family Medicine Physician |
| RT2167 | NH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1336383553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 FOUNDRY ST",
"address_2": "SUITE 201",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015421",
"telephone_number": "603-228-0071",
"fax_number": "603-228-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 FOUNDRY ST",
"address_2": "SUITE 201",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015421",
"telephone_number": "603-228-0071",
"fax_number": "603-228-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALROD",
"first_name": "MARK",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-01",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "RT2167",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "16851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.