Charles Wesley Walton, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

155451-1205 Issued in UT

Practice address

11286 N Tamarack Dr
Highland, UT 84003-9595

Phone

(801) 492-9162

Fax

(801) 492-9163

NPI assigned

Jun 13, 2005

Last updated

Mar 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1457355869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11286 N TAMARACK DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039595",
            "telephone_number": "801-492-9162",
            "fax_number": "801-492-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11286 N TAMARACK DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039595",
            "telephone_number": "801-492-9162",
            "fax_number": "801-492-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "CHARLES",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "155451-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Podiatric Physicians and Surgeons Group LLC (Utah Musculoskeletal Specialists (UMS))
• Utah Spinal Works
• Nicholas Vanalfen, DDS
• Wal-Mart Stores, Inc (Vision Center 30-2511)
• Melissa Marie Wall, COTA/L
• Warnock Premier Health
• Steven J Weaver, OD
• Karla Weisenburger
• Mark Weisenburger
• Matthew Tyler Whitlock, DO

• Addiction Medicine (Family Medicine) Physician in Highland, UT
• Providers in Highland, UT by specialty
• Addiction Medicine (Family Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.

Verify at the official NPI Registry.