JOHN EDMOND WALTON (NPI# 1376632703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376632703 |
| Entity Type | Individual |
| Full Name | JOHN EDMOND WALTON |
| Credential | MD |
| Practice Address |
402 Memorial Drive Extension Greer SC 29651 |
| Practice Telephone | 8648770779 |
| Practice Fax Number | 8648777801 |
| Mailing Telephone | 8648770779 |
| Mailing Fax Number | 8648777801 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 6530 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 065306 | 05 | |
| NC | MEDICAID | 89133WF | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710197199 | John David Walton | Dentist | 10075 Blue Ridge Drive, Blue Ridge, GA 30513-1109 | 2007-05-23 |
| 1245895507 | John Claude Walton | Student in an Organized Health Care Education/Training Program | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2019-05-02 |
| 1972978930 | John Adam Walton | Occupational Therapist | 3177 Meridian Parke Dr, Greenwood, IN 46142-9629 | 2015-12-02 |
| 1417376534 | John Walton | Urology | 8240 Naab Rd Ste 200, Indianapolis, IN 46260-1986 | 2014-04-16 |
| 1417156829 | John William Walton | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-07-16 |
| 1518026731 | John Kenneth Walton | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2006-12-06 |
| 1619066198 | John D Walton | Emergency Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-10-12 |
| 1659489508 | John Scott Walton | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1326096850 | John Douglas Walton | Radiology | 744 W 9th St, Tulsa, OK 74127-9020 | 2006-05-05 |
| Street Address |
402 MEMORIAL DRIVE EXTENSION |
| City | GREER |
| State | SC |
| Zip Code | 29651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487751699 | Blue Ridge Urology Pa | Urology | 402 Memorial Drive Extension, Greer, SC 29651 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619499035 | Jerry Webb Hudspeth II | Pharmacist | 221 Marnie Ln, Greer, SC 29651 | 2017-07-07 |
| 1073863395 | Sarah Delello Black | Pharmacist | 590 East Howell Rd, Greer, SC 29651 | 2012-09-13 |
| 1538418645 | Ernest Earl Clayton | Pharmacist | 1325 West Wade Hampton Blvd, Greer, SC 29651 | 2012-09-05 |
| 1235451352 | Mountainview Dentistry | Dentist | 119 Village Drive, Greer, SC 29651 | 2010-02-16 |
| 1548457849 | Assisted Living Concepts Inc | Assisted Living Facility | 10 Companion Court, Greer, SC 29651 | 2007-10-01 |
| 1689866642 | Anthony L Mathis Dpm LLC | Podiatrist | 127 Mills Ave., Greer, SC 29651 | 2007-08-14 |
| 1275740193 | Pamela B Dhillon | Dentist | 3115 A Brushy Creek Road, Greer, SC 29651 | 2007-05-17 |
| 1689715153 | Clara Richards | Occupational Therapy Assistant | 285 Genoble Rd, Greer, SC 29651 | 2007-02-09 |
| 1063566263 | Greer Group Practice, LLC | Orthopaedic Surgery | 501-b Memorial Extension Drive, Greer, SC 29651 | 2007-01-23 |
| 1730253824 | Tammy Rollins Mason | Social Worker | 104 Memorial Drive, Greer, SC 29651 | 2006-11-20 |
| Find all providers in zip 29651 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1487751699 | Blue Ridge Urology Pa | Urology | 402 Memorial Drive Extension, Greer, SC 29651 | 2006-09-20 |
| 1396967162 | The Urology Group Whitlock & Devore | Urology | 420 The Parkway, Bldg C, Greer, SC 29650 | 2007-05-02 |
| 1568590594 | Hammond Urology, Pa | Urology | 2755 S Highway 14, Suite 2050, Greer, SC 29650-4902 | 2007-03-01 |
| 1023092699 | Robert Douglas Devore | Urology | 340 Medical Pkwy, Suite 200, Greer, SC 29650-2441 | 2005-12-06 |
| 1386628956 | Norris Walter Whitlock | Urology | 420 The Pkwy, Building C, Greer, SC 29650-5204 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| 1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.