NPIMap

Individual provider Active NPI

Walter G Day, M.D.

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1942239207
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3277 Issued in TX
Practice address
3001 S Jackson St
San Angelo, TX 76904-5129
Phone
(325) 223-6347
Fax
(325) 223-6377
NPI assigned
Jun 30, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G3277 TX Primary

Addresses

Primary practice location

3001 S Jackson St
San Angelo, TX 76904-5129

Mailing address

3001 S Jackson St
San Angelo, TX 76904-5129
Phone (325) 223-6347

Other identifiers 2

IdentifierTypeStateIssuer
141981401MedicaidTX
0057EWOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928001356 TX Practitioner - Family PracticePractitioner - Emergency Medicine 9032188834 Reassigns benefits to 2 organizations
Practice locations: San Angelo, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Hospital Leasing Eldorado, IncGroup PAC ID 5799707618, shared by 4 NPIs, 5 clinicians

Practice addresses (Care Compare)

102 N US Hwy 277
Eldorado, TX 76936-4010
Phone (325) 853-2507

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospital Leasing Eldorado, Inc. Current Accepting new patients
Preferred Hospital Leasing Eldorado, Inc. Family Medicine CurrentSince Dec 1, 2005 Accepting new patients
Preferred Hospital Leasing Eldorado, Inc. CurrentSince Dec 1, 2005 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Past Accepting new patients
Preferred Hospital Leasing Eldorado Inc Past Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients
Communities of Texas Healthcare, LLP Family Medicine Past Accepting new patients

Locations

100 N US Highway 277
Eldorado, TX 76936
Phone (325) 853-2507

102 N US Highway 277
Eldorado, TX 76936
Phone (325) 853-2507

Organizations & group practices 8

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 5

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1942239207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S JACKSON ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045129",
            "telephone_number": "325-223-6347",
            "fax_number": "325-223-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S JACKSON ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045129",
            "telephone_number": "325-223-6347",
            "fax_number": "325-223-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "WALTER",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141981401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0057EW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.