Walter S Medlin (NPI# 1932156692, PAC ID# 0446237812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1932156692 |
| PAC ID by PECOS | 0446237812 |
| Professional Enrollment ID | I20141031001563 |
| Full Name | Walter S Medlin |
| Address |
1046 E 100 Suite A Salt Lake City UT 84102-1520 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460003 | SALT LAKE REGIONAL MEDICAL CENTER |
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 777 Hospital Way, Pocatello, ID 83201-5175 | ||
| 1046 E 100, Suite A, Salt Lake City, UT 84102-1520 |
| Street Address |
1046 E 100 SUITE A |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84102-1520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Talbot | Registered Dietitian Or Nutrition Professional | Bariatric Medicine Institute | 1046 E 100, Salt Lake City, UT 84102-1520 |
| Daniel Cottam | General Practice | Bariatric Medicine Institute | 1046 E 100, Salt Lake City, UT 84102-1520 |
| Christina G Richards | General Surgery | 1046 E 100, Suite 110, Salt Lake City, UT 84102-1520 | |
| Lisa Sandoval Chapman | Physician Assistant | Daniel R Cottam Md PC | 1046 E 100, Suite 400, Salt Lake City, UT 84102-1520 |
| Madison Meyers | Physician Assistant | Daniel R Cottam Md PC | 1046 E 100, Suite 400, Salt Lake City, UT 84102-1520 |
| Legrand P Belnap | General Surgery | 1046 E 100, Suite 500, Salt Lake City, UT 84102-1520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
| Charles Ty Nuttall | Clinical Social Worker | 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | |
| Darren F Groberg | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Daniel Preece | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Steven R Taylor | Otolaryngology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Kian Eftekhari | Ophthalmology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Edwin Awinda | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Bernard M Mutie | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Nathan Michael Hastings | Hospitalist | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Find all physicians in zip 84102 | |||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SALT LAKE CITY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Walter S Medlin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.