Individual provider Active NPI

Heather Gayle Sutton Walsh, MD

  • Obstetrics & Gynecology Physician
  • Denton, TX
National Provider Identifier
1871512640
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L9539 Issued in TX
Practice address
2665 Scripture Street
Denton, TX 76201-3708
Phone
(940) 535-5767
Fax
(940) 898-0147
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L9539 TX Primary

Addresses

Primary practice location

2665 Scripture Street
Denton, TX 76201-3708

Mailing address

2665 Scripture Street
Denton, TX 76201
Phone (940) 535-5767

Other identifiers 4

IdentifierTypeStateIssuer
183046504OtherTXMEDICAID OTHER
P00470018OtherTXRAILROAD MEDICARE
183046503MedicaidTX
L9539OtherTXSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20061020000241 TX Practitioner - Obstetrics/Gynecology 1153327838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palo Pinto County Hospital DistrictGroup PAC ID 5890602759, 40 clinicians

Practice addresses (Care Compare)

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

101 Holly Hill Rd
Suite B
Mineral Wells, TX 76067-5005
Phone (940) 463-7101

202 SW 25TH Ave
Mineral Wells, TX 76067-8462

202 SW 25TH Ave
1200 Palo Pinto Urology
Mineral Wells, TX 76067-8461
Phone (940) 463-7229

202 SW 25TH Ave
300 Palo Pinto General Hospital
Mineral Wells, TX 76067-8242
Phone (940) 328-6521

202 SW 25TH Ave
800 Palo Pinto Cares for Kids
Mineral Wells, TX 76067-8460
Phone (940) 328-7588

202 SW 25TH St
800 Palo Pinto General Hospital Pulmonology
Mineral Wells, TX 76067-8460
Phone (940) 328-7586

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6404

Hospital & facility affiliations

  • Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District CurrentSince Jan 4, 2016 Accepting new patients
Palo Pinto County Hospital District Obstetrics & Gynecology CurrentSince Jan 4, 2016 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

202 SW 25th Ave
Ste 1000
Mineral Wells, TX 76067
Phone (940) 325-7891

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1871512640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 SCRIPTURE STREET",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76201",
            "telephone_number": "940-535-5767",
            "fax_number": "940-898-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 SCRIPTURE STREET",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013708",
            "telephone_number": "940-535-5767",
            "fax_number": "940-898-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "HEATHER",
        "middle_name": "GAYLE SUTTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L9539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER",
            "identifier": "183046504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00470018",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183046503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "L9539",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.