Individual provider Active NPI

Walter E Gasser, MD

  • Internal Medicine Physician
  • Hilton Head Island, SC
National Provider Identifier
1366471138
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29675 Issued in SC
Practice address
4 Indigo Run Dr
#3610
Hilton Head Island, SC 29926-4150
Phone
(843) 540-3231
NPI assigned
Jul 2, 2006
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29675 SC Primary

Addresses

Primary practice location

4 Indigo Run Dr
#3610
Hilton Head Island, SC 29926-4150

Mailing address

4 Indigo Run Dr
#3610
Hilton Head Island, SC 29926-4150
Phone (843) 540-3231

Other identifiers 1

IdentifierTypeStateIssuer
296753MedicaidSC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Immediate Care Center, LTD Past Accepting new patients
Bonaventure Medical Foundation, LLC PastSince Apr 1, 2009 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1366471138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 INDIGO RUN DR",
            "address_2": "#3610",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264150",
            "telephone_number": "843-540-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INDIGO RUN DR",
            "address_2": "#3610",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264150",
            "telephone_number": "843-540-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSER",
        "first_name": "WALTER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "29675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.