Joseph A Walters Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

203093 Issued in LA

Practice address

425 S Vine St
Bastrop, LA 71220-4513

Phone

(318) 283-3960

Fax

(318) 239-8960

NPI assigned

May 23, 2007

Last updated

Nov 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwalters@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Morehouse General Hospital

  • Multi-Specialty Clinic/Center
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  Medicare reassignment NPD
• Concord Medical Group PLLC

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  • NPI 1083630610

  LA

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• Brfhh Monroe LLC

  dba University Health Conway

  • Psychiatric Hospital Unit
  • Monroe, LA
  • NPI 1255761151
  NPD
• Morehouse General Hospital

  dba Morehouse Family Medicine Rural Health Clinic

  • Rural Health Clinic/Center
  • Bastrop, LA
  • NPI 1992207294
  NPD
• Concord Medical Group of Texas PLLC

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1740490895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210293",
            "telephone_number": "318-283-3620",
            "fax_number": "318-239-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S VINE ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204513",
            "telephone_number": "318-283-3960",
            "fax_number": "318-239-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "203093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1077038",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wade
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0098)
• Wal-Mart Stores East, LP (Vision Center30-0098)
• Walgreen Co (Walgreens #21533)
• Walgreen Co. (Walgreens #10536)
• Katherine Ruth Ward, RAC
• Melissa Sue Ward, PMHNP-BC
• Jacqueline Warner, PHARM.D.
• Alexander Washington
• Shinderick Washington

• Internal Medicine Physician in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.