Walter L Holton (NPI# 1992769178, PAC ID# 3779621750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1992769178 |
PAC ID by PECOS | 3779621750 |
Professional Enrollment ID | I20091111000676 |
Full Name | Walter L Holton |
Organization Legal Name | OUTERBANKS PROFESSIONAL SERVICES LLC |
Address |
604 Amanda St Manteo NC 27954-9039 |
Phone Number | 2524733478 |
Gender | M |
Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1973 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 3173652096 |
Number of Group Practice Members | 43 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
341324 | THE OUTER BANKS HOSPITAL, INC |
Address | Phone | Organization |
---|---|---|
604 Amanda St, Manteo, NC 27954-9039 | 2524733478 | OUTERBANKS PROFESSIONAL SERVICES LLC |
Organization Legal Name | OUTERBANKS PROFESSIONAL SERVICES LLC |
Physicians | 47 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah Holcomb Summerton | Nurse Practitioner | Outerbanks Professional Services LLC | 5120 N Croatan Hwy, Kitty Hawk, NC 27949 |
Krista J Follmer | Qualified Audiologist | Outerbanks Professional Services LLC | 5118 N Croatan Hwy, Kitty Hawk, NC 27949 |
Amanda J Williams | Nurse Practitioner | Outerbanks Professional Services LLC | 4923 S Croatan Hwy, Nags Head, NC 27959-9709 |
Marielle M Silk | Nurse Practitioner | Outerbanks Professional Services LLC | 4923s Croatan Hwy, Nags Head, NC 27959-9709 |
Joseph T Jenkins | General Surgery | Outerbanks Professional Services LLC | 4810 S Croatan Hwy, Suite 250, Nags Head, NC 27959 |
Joseph A Hodges Jr. | Family Medicine | Outerbanks Professional Services LLC | 40894 Nc Hwy, Avon, NC 27915-9998 |
Anne Marie Smith | Nurse Practitioner | Outerbanks Professional Services LLC | 3102 N Croatan Hwy, Kill Devil Hills, NC 27948 |
Amanda C Austin | Family Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
Roy J Peters | Internal Medicine | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
Clayton Moore | Physician Assistant | Outerbanks Professional Services LLC | 5565 N Croatan Hwy, Southern Shores, NC 27949-4090 |
Street Address |
604 AMANDA ST |
City | MANTEO |
State | NC |
Zip | 27954-9039 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christine K Heard | Registered Dietitian Or Nutrition Professional | Dare County Administrative Offices | 109 Exeter St, Manteo, NC 27954-9400 |
City | MANTEO |
Zip Code | 27954 |
Specialty | FAMILY PRACTICE |
City + Specialty | MANTEO + FAMILY PRACTICE |
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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.