Active NPI
Arthur W Walsh, MD
- Ophthalmology Physician
- Lebanon, NH
National Provider Identifier
1437246824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 10460
- Practice address
- 56 Bank St
Lebanon, NH 03766 - Phone
- (603) 448-7309
- Fax
- (603) 448-8821
- NPI assigned
- Oct 6, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 10460 | NH | Primary |
Addresses
Primary practice location
56 Bank St
Lebanon, NH 03766
Mailing address
56 Bank St
Lebanon, NH 03766
Phone (603) 448-7309
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104962Y0NH01 | Other | NHBC | |
| 00038756 | Other | VT BLUE CROSS BLUE SHIELD | |
| 10022521 | Other | CIGNA | |
| 30200022 | Medicaid | NH | |
| 0RE4899 | Other | VT | MEDICAID |
| 17P200 | Other | MVP | |
| NH1830 | Other | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040414000351 | NH | Practitioner - Ophthalmology | 5193719821 | Practice locations: Lebanon, NH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10460 | NH | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437246824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BANK ST",
"city": "LEBANON",
"state": "NH",
"postal_code": "03766",
"telephone_number": "603-448-7309",
"fax_number": "603-448-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 BANK ST",
"city": "LEBANON",
"state": "NH",
"postal_code": "03766",
"telephone_number": "603-448-7309",
"fax_number": "603-448-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "ARTHUR",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "10460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHBC",
"identifier": "0104962Y0NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VT BLUE CROSS BLUE SHIELD",
"identifier": "00038756",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10022521",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30200022",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "0RE4899",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "17P200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "NH1830",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.