Richard C. Walters, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R 5775 Issued in MO

Legal business name

RICHARD C. WALTERS, M.D., P.C.

Practice address

7511 Big Bend Blvd
Saint Louis, MO 63119-2103

Phone

(314) 961-7064

Fax

(314) 961-9991

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard C. Walters, M.D.

Title

President

Phone

(314) 961-7064

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1720362973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192103",
            "telephone_number": "314-961-7064",
            "fax_number": "314-961-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192103",
            "telephone_number": "314-961-7064",
            "fax_number": "314-961-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. WALTERS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-961-7064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R 5775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Harrison Rich, MD
• Michael W Rich, MD
• Richard a Squires DDS PC (Hollywood Smiles)
• Richard C Curtis Senior Services LLC
• Richard C Young LCSW Inc
• Alex Richard, MD
• Amy Michelle Richard, DC
• Cheryl L. Richard, APRN-BC
• Lois Frances Richard, MD
• Monique Cherise Richard

• Dermatology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dermatology Physician in Missouri

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