Walters Surgical Assoc PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WALTERS SURGICAL ASSOC PA

Practice address

220 Jefferson St
Whiteville, NC 28472-3416

Phone

(910) 642-3214

Fax

(910) 642-2085

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shirrel Rhodes

Title

Office Manager

Phone

(910) 642-3214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400300

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lawrence Greco, M.D.

  • Surgery Physician
  • Whiteville, NC
  • NPI 1881698868
  Medicare reassignment Care Compare group NPD
• Ronald Martin Walters, M.D.

  • Surgery Physician
  • Whiteville, NC
  • NPI 1922002997
  Medicare reassignment Care Compare group NPD
• Andrew Chia Hsueh Lin, MD

  • Surgery Physician
  • Camden, NJ
  • NPI 1295396364

  NC

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1942265301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723416",
            "telephone_number": "910-642-3214",
            "fax_number": "910-642-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723416",
            "telephone_number": "910-642-3214",
            "fax_number": "910-642-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS SURGICAL ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "SHIRREL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-642-3214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Richard M Waldman, MD
• Walgreen Co
• Walgreen Co
• Abigale Louise Walters, PA
• Ronald Martin Walters, M.D.
• Ernest Benjamin Ward III, DDS
• Melinda Ward, PHARMD
• Phillip T Ward

• Specialist in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.