Individual provider Active NPI

Walter Clark Hargrove, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Doylestown, PA
National Provider Identifier
1437180122
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD015427E Issued in PA
Practice address
599 W State St Ste 207
Doylestown, PA 18901-2567
Phone
(215) 345-2100
Fax
(215) 345-2110
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD015427E PA Primary

Addresses

Primary practice location

599 W State St Ste 207
Doylestown, PA 18901-2567

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (267) 370-5296

Other practice location 1

51 N 39th St
PHI 2nd Floor, Suite 2A
Philadelphia, PA 19104-2640
Phone (215) 662-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031201000200 PA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 9436054723 Reassigns benefits to 2 organizations
I20231130002037 NJ Practitioner - Thoracic Surgery 9436054723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 22, 2023 Accepting new patients
Via Affiliates CurrentSince Jul 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Oct 22, 2023 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Via Affiliates CurrentSince Jul 1, 2022 Accepting new patients

Locations

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

599 W State St
Ste 207AB
Doylestown, PA 18901
Phone (267) 855-0770

599 W State St
Ste 207
Doylestown, PA 18901
Phone (215) 345-0105

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

51 N 39th St
Ste 2A
Philadelphia, PA 19104
Phone (215) 662-9595

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1437180122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W STATE ST STE 207",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "215-345-2100",
            "fax_number": "215-345-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 39th St",
            "address_2": "PHI 2nd Floor, Suite 2A",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042640",
            "country_code": "US",
            "telephone_number": "215-662-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "WALTER",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD015427E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.