Michael Kevin Walsh, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

239712 Issued in NY

Practice address

3946 Oneida St
New Hartford, NY 13413-9702

Phone

(315) 624-8300

Fax

(315) 624-8310

NPI assigned

Nov 27, 2005

Last updated

Feb 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial HospitalGroup PAC ID 6103805163, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwalsh@cmhhamilton.medentdirect.com
• Direct secure messaging: mwalsh@hiemail.healtheconnections.org

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

• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Waterville, NY
  • NPI 1477080604

  Family Medicine

  NPD

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

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1568445245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134139702",
            "telephone_number": "315-624-8300",
            "fax_number": "315-624-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134139702",
            "telephone_number": "315-624-8300",
            "fax_number": "315-624-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-27",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "239712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02755282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #09799)
• Walgreen Co (Rite Aid)
• Walgreen Eastern Co Inc
• Walgreens
• James Victor Wallace, PT
• Mark Warfel, DO
• Jacqueline D Warmuth, OTR
• Karen Warner, NP
• Sarah A. Waskiewicz
• Michael R Waterman, O.D.

• Family Medicine Physician in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.