Walter Zelasko, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

159 Issued in NC

Practice address

3641 Westgate Center Cir Ste a
Winston Salem, NC 27103-2936

Phone

(336) 277-6550

NPI assigned

Jun 8, 2006

Last updated

Oct 25, 2020By 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 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: wzelasko99197@direct.novanthealth.org

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1811937741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-774-3141",
            "fax_number": "336-774-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 WESTGATE CENTER CIR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032936",
            "telephone_number": "336-277-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Lyndhurst Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034146",
            "country_code": "US",
            "telephone_number": "336-277-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3641 Westgate Center Cir",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032936",
            "country_code": "US",
            "telephone_number": "336-774-3141",
            "fax_number": "336-774-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELASKO",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "159",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08198",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908198",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wzelasko99197@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3641 Westgate Center Cir",
            "address_2": "Suite A",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271032936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Albert Zegar III, MD
• Jason C Zeigler, DPM
• Alana Marie Zeitany, MD
• Marsha Zeitany, PHARMD
• Patricia J. Zekan, MD
• Kristen Anne Zeller, MD
• Zachary Emmanuel Zeller, MD
• Stacie Jean Zelman, MD
• Eric Zeng
• Zenith Labs LLC

• Foot & Ankle Surgery Podiatrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.