Individual provider Active NPI

Walter William McEarchern, M.D.

  • Pulmonary Disease Physician
  • Mesa, AZ
National Provider Identifier
1619097250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
7467 Issued in AZ
Practice address
7231 E Broadway Rd
Mesa, AZ 85208-2030
Phone
(480) 654-6880
Fax
(480) 654-6884
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 7467 AZ Primary

Addresses

Primary practice location

7231 E Broadway Rd
Mesa, AZ 85208-2030

Mailing address

8048 E McDowell Rd
Mesa, AZ 85207-1324
Phone (480) 986-3473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7467AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Center for Pulmonary & Sleep Disorders Inc Pulmonary Disease Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619097250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8048 E MCDOWELL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071324",
            "telephone_number": "480-986-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082030",
            "telephone_number": "480-654-6880",
            "fax_number": "480-654-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEARCHERN",
        "first_name": "WALTER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "7467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.