W G Walters MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD0070000 Issued in TN

Legal business name

W G WALTERS MD PC

Practice address

665 Emory Valley Road
Suite B
Oak Ridge, TN 37830

Phone

(865) 482-1599

Fax

(865) 483-9390

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Gary Walters, MD

Title

President Ceo

Phone

(865) 482-1599

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1982762654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 EMORY VALLEY ROAD",
            "address_2": "SUITE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-482-1599",
            "fax_number": "865-483-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 EMORY VALLEY ROAD",
            "address_2": "SUITE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-482-1599",
            "fax_number": "865-483-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W G WALTERS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "865-482-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0070000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150144",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.