Walter L. Fletscher, M.D., Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G48644 Issued in CA

Legal business name

WALTER L. FLETSCHER, M.D., INC.

Practice address

2510 Airpark Dr
Suite 302
Redding, CA 96001-2449

Phone

(530) 241-9966

Fax

(530) 241-9783

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Walter Lyle Fletscher, M.D.NPI 1407879901

Title

President

Phone

(530) 949-4128

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter L Fletscher, M.D.

  • Cardiovascular Disease Physician
  • Redding, CA
  • NPI 1407879901
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1447680301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "SUITE 302",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012449",
            "telephone_number": "530-241-9966",
            "fax_number": "530-241-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "SUITE 302",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012449",
            "telephone_number": "530-241-9966",
            "fax_number": "530-241-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER L. FLETSCHER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "FLETSCHER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-949-4128",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G48644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G486440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Wallace, PT, DPT
• Mark D Wallace, M.D.
• Nathan Wallace
• Walmart Inc.
• Walmart, Inc.
• Shelby Lynn Walton
• Susan Walton
• Wambui Waruingi MD Inc
• Laurel Wanat
• Amelia Wang, MS, CCC-SLP

• Cardiovascular Disease Physician in Redding, CA
• Providers in Redding, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.