Walter William Perrott, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME91535 Issued in FL

Practice address

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Phone

(866) 775-5053

Fax

(614) 764-9147

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

State licenses

Practice roles

Locations

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.

• Montgomery Radiology Associates, PA

  • Specialist
  • Montgomery, AL
  • NPI 1023046604
  Medicare reassignment NPD
• Selma Radiology Associates P C

  • Specialist
  • Montgomery, AL
  • NPI 1669429296
  Medicare reassignment NPD
• Medical Evaluators Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Panama City, FL
  • NPI 1679561526
  NPD
• MRI Today, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Defuniak Springs, FL
  • NPI 1194771170
  NPD
• Open MRI of Tifton LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tifton, GA
  • NPI 1679542526
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1487626164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919280",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "866-775-5053",
            "fax_number": "614-764-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "866-775-5053",
            "fax_number": "614-764-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTT",
        "first_name": "WALTER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00006494",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME91535",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "37075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107040",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107039",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108515",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108199",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pensacola Nephrology, PA
• Pensacola Nephrology, PA
• Joel Perez-Nunez, FNP
• Kimberly Perez
• Brilee Perkins
• Erik Ryan Persiani, D.C.
• Andrea M Person, PA
• Personal Care Family Dentistry PA
• Peter Kozlowski MD PA
• Kristen Nicole Peterman, APRN, PMHNP-BC

• Diagnostic Radiology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.