Organization Active NPI

Martha a Walton MD PA

  • Ophthalmology Physician
  • Fredericksburg, TX
National Provider Identifier
1689646978
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H1237 Issued in TX
Legal business name
MARTHA A WALTON MD PA
Practice address
755 S Washington
Fredericksburg, TX 78624
Phone
(830) 997-6535
Fax
(830) 997-9695
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Martha A Walton, MD
Title
Owner
Phone
(830) 997-6535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X H1237 TX Primary

Addresses

Primary practice location

755 S Washington
Fredericksburg, TX 78624

Mailing address

755 S Washington
Fredericksburg, TX 78624
Phone (830) 997-6535

Other identifiers 2

IdentifierTypeStateIssuer
0032LMOtherTXBCBS
167357601MedicaidTX

National Provider Directory

National Provider Directory

Locations

755 S Washington St
Fredericksburg, TX 78624
Phone (830) 997-6535

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1689646978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S WASHINGTON",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-6535",
            "fax_number": "830-997-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S WASHINGTON",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-6535",
            "fax_number": "830-997-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA A WALTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-997-6535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H1237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032LM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167357601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.