Active NPI
William Walsh, M.D.
- Orthopaedic Surgery Physician
- Hawthorne, NY
National Provider Identifier
1962430991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 097304
- Practice address
- 19 Bradhurst Avenue
Suite 1300 N
Hawthorne, NY 10532 - Phone
- (914) 789-2700
- Fax
- (914) 789-2744
- NPI assigned
- Jun 29, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 097304 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Avenue
Suite 1300 N
Hawthorne, NY 10532
Mailing address
19 Bradhurst Avenue
Suite 1300 N
Hawthorne, NY 10532
Phone (914) 789-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00324621 | Medicaid | NY |
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 |
|---|---|---|---|
| 097304 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1962430991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVENUE",
"address_2": "SUITE 1300 N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "10532",
"telephone_number": "914-789-2700",
"fax_number": "914-789-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVENUE",
"address_2": "SUITE 1300 N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "10532",
"telephone_number": "914-789-2700",
"fax_number": "914-789-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "097304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00324621",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.