Individual provider Active NPI

William Taylor Walsh, DO

  • Surgery Physician
  • Williamsburg, VA
National Provider Identifier
1871910497
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0102208578 Issued in VA
Practice address
500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727
Phone
(757) 984-9850
Fax
(757) 345-6643
NPI assigned
Mar 20, 2014
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0102208578 VA Primary
Surgery Physician 208600000X 34.013205 OH
Surgical Critical Care Physician 2086S0102X 34.013205 OH
Surgical Critical Care Physician 2086S0102X 0102208578 VA

Addresses

Primary practice location

500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727

Mailing address

500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727
Phone (757) 984-9850

Other identifiers 1

IdentifierTypeStateIssuer
0348977MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190603000123 OH Practitioner - General Surgery 8426381708 Reassigns benefits to 4 organizations
I20241105001533 VA Practitioner - General Surgery 8426381708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

500 Sentara Circle
Suite 202
Williamsburg, VA 23188-5727
Phone (757) 984-9850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013205OHMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain, LLC Surgery CurrentSince Apr 6, 2020 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Sentara Medical Group CurrentSince Jul 1, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Apr 6, 2020 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Surgery CurrentSince Sep 1, 2021 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3600 Kolbe Rd
Ste 210
Lorain, OH 44053
Phone (440) 222-4567

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

3000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-7250

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

500 Sentara Cir
Ste 202
Williamsburg, VA 23188
Phone (757) 984-9850

Interoperability endpoints

  • Direct secure messaging: wwalsh105842@direct.metrohealth.org

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1871910497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENTARA CIR STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885727",
            "telephone_number": "757-984-9850",
            "fax_number": "757-345-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SENTARA CIR STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885727",
            "telephone_number": "757-984-9850",
            "fax_number": "757-345-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "WILLIAM",
        "middle_name": "TAYLOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102208578",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.013205",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OH",
            "license": "34.013205",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0102208578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.