Organization Active NPI

Lance Patrick Walsh MD PHD a Professional Medical Corporation

  • Urology Physician
  • Rancho Mirage, CA
National Provider Identifier
1609026608
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A98108 Issued in CA
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

Updated by the provider on Feb 28, 2019

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.