Active NPI
David Lawrence Waltos, MD
- Psychiatry Physician
- Towson, MD
National Provider Identifier
1871621342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D 0023801
- Practice address
- 28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909 - Phone
- (410) 583-5201
- Fax
- (410) 583-5553
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D 0023801 | MD | Primary |
Addresses
Primary practice location
28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909
Mailing address
28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909
Phone (410) 583-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D 0023801 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Harbor Hospital Physicians LLC | Past | Accepting new patients | |
| Harbor Hospital | Past | Accepting new patients | |
| Howard Reznick, LCSW --C, P. a. | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871621342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ALLEGHENY AVE",
"address_2": "SUITE 1208",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043909",
"telephone_number": "410-583-5201",
"fax_number": "410-583-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 ALLEGHENY AVE",
"address_2": "SUITE 1208",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043909",
"telephone_number": "410-583-5201",
"fax_number": "410-583-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTOS",
"first_name": "DAVID",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D 0023801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.