Active NPI
Walter Edward App, M.D.
- Pulmonary Disease Physician
- Louisville, KY
National Provider Identifier
1932295607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- KY24136
- Practice address
- 3430 Newburg Rd
Suite 150
Louisville, KY 40218-2497 - Phone
- (502) 459-9127
- Fax
- (502) 459-2156
- NPI assigned
- Oct 4, 2006
- Last updated
- Nov 10, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 24136 | KY | |
| Pulmonary Disease Physician | 207RP1001X | KY24136 | KY | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 24136 | KY |
Addresses
Primary practice location
3430 Newburg Rd
Suite 150
Louisville, KY 40218-2497
Mailing address
3430 Newburg Rd
Suite 150
Louisville, KY 40218-2497
Phone (502) 459-9127
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7178282 | Other | KY | AETNA |
| 64241367 | Medicaid | KY | |
| 110033039 | Other | KY | RAILROAD MEDICARE |
| 200003130 | Other | KY | INDIANA MEDICAID |
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 |
|---|---|---|---|
| KY24136 | KY | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1932295607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 NEWBURG RD",
"address_2": "SUITE 150",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182497",
"telephone_number": "502-459-9127",
"fax_number": "502-459-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 NEWBURG RD",
"address_2": "SUITE 150",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182497",
"telephone_number": "502-459-9127",
"fax_number": "502-459-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APP",
"first_name": "WALTER",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KY",
"license": "24136",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "KY24136",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "KY",
"license": "24136",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7178282",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64241367",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110033039",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA MEDICAID",
"identifier": "200003130",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.