Active NPI
Lance Patrick Walsh MD PHD a Professional Medical Corporation
- Urology Physician
- Rancho Mirage, CA
National Provider Identifier
1609026608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A98108
- Legal business name
- LANCE PATRICK WALSH MD PHD A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 72057 Highway 111
Rancho Mirage, CA 92270-4927 - Phone
- (760) 346-7191
- Fax
- (760) 346-7905
- NPI assigned
- Sep 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lance P Walsh, MD PHD
- Title
- Medical Director
- Phone
- (760) 346-7191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A98108 | CA | Primary |
Addresses
Primary practice location
72057 Highway 111
Rancho Mirage, CA 92270-4927
Mailing address
2201 North Jefferson Avenue
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000
Other practice location 1
2201 North Jefferson Avenue
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000
National Provider Directory
National Provider DirectoryLocations
39000 Bob Hope Dr
Bldg 209
Rancho Mirage, CA 92270
Phone (760) 773-2010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551312000000",
"number": "1609026608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 NORTH JEFFERSON AVENUE",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552338",
"telephone_number": "903-577-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72057 HIGHWAY 111",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704927",
"telephone_number": "760-346-7191",
"fax_number": "760-346-7905"
}
],
"practiceLocations": [
{
"address_1": "2201 North Jefferson Avenue",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "TX",
"postal_code": "754552338",
"country_code": "US",
"telephone_number": "903-577-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LANCE PATRICK WALSH MD PHD A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-25",
"last_updated": "2019-02-28",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "LANCE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "760-346-7191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PHD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "A98108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.