Active NPI
James T Walsh, M.D.
- Family Medicine Physician
- Terre Haute, IN
National Provider Identifier
1750491932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01029028A
- Practice address
- 221 S 6TH St
Terre Haute, IN 47807-4214 - Phone
- (812) 242-3120
- Fax
- (812) 242-3846
- NPI assigned
- Aug 30, 2006
- Last updated
- Aug 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01029028A | IN | Primary |
Addresses
Primary practice location
221 S 6TH St
Terre Haute, IN 47807-4214
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3120
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0182878 | Other | US DEPT OF LABOR | |
| 273498 | Other | HEALTHLINK | |
| N288167 | Other | HARMONY HEALTH PLAN IND | |
| 01430 | Other | CIGNA | |
| 080061676 | Other | RAILROAD MCARE PALAMETTO | |
| 000000089628 | Other | ANTHEM | |
| 100251010 | Medicaid | IN | |
| 100251010A | Other | IN | MOLINA HEALTHCARE MCAID |
| 4062104 | Other | AETNA | |
| I018482C003 | Other | UNISYS CHAMPUS SECONDARY | |
| P00834930 | Other | IN | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01029028A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1750491932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074214",
"telephone_number": "812-242-3120",
"fax_number": "812-242-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074214",
"telephone_number": "812-242-3120",
"fax_number": "812-242-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "JAMES",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01029028A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "0182878",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "273498",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY HEALTH PLAN IND",
"identifier": "N288167",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01430",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE PALAMETTO",
"identifier": "080061676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000089628",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251010",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE MCAID",
"identifier": "100251010A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4062104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISYS CHAMPUS SECONDARY",
"identifier": "I018482C003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00834930",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.