Organization Active NPI

Thomas S Walter MD PA

  • Obstetrics & Gynecology Physician
  • Clearwater, FL
National Provider Identifier
1801872148
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME41933 Issued in FL
Legal business name
THOMAS S WALTER MD PA
Practice address
3251 N McMullen Booth Road
#102
Clearwater, FL 33761-2022
Phone
(727) 669-6242
Fax
(727) 669-6818
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Thomas S Walter, MD
Title
Owner
Phone
(727) 669-6242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X ME41933 FL Primary

Addresses

Primary practice location

3251 N McMullen Booth Road
#102
Clearwater, FL 33761-2022

Mailing address

3251 N McMullen Booth Road
#102
Clearwater, FL 33761-2022
Phone (727) 669-6242

National Provider Directory

National Provider Directory

Locations

3251 N McMullen Booth Rd
Ste 102
Clearwater, FL 33761
Phone (727) 669-6242

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1801872148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH ROAD",
            "address_2": "#102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-669-6242",
            "fax_number": "727-669-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH ROAD",
            "address_2": "#102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-669-6242",
            "fax_number": "727-669-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS S WALTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-669-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME41933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.