Active NPI
McClellan Walther, M.D.
- Urology Physician
- Hyattsville, MD
National Provider Identifier
1881617827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0037713
- Practice address
- 5804 Baltimore Ave
Hyattsville, MD 20781-1623 - Phone
- (301) 927-7800
- Fax
- (301) 209-9474
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0037713 | MD | Primary |
Addresses
Primary practice location
5804 Baltimore Ave
Hyattsville, MD 20781-1623
Mailing address
320 Highland Ridge Ave
Gaithersburg, MD 20878-7811
Phone (301) 987-0278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0037713 | MD | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Richard Lilly MD Shaaron R Towns MD and Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Hyattsville, MD
- NPI 1336135821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881617827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 HIGHLAND RIDGE AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208787811",
"telephone_number": "301-987-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5804 BALTIMORE AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811623",
"telephone_number": "301-927-7800",
"fax_number": "301-209-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHER",
"first_name": "MCCLELLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0037713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.