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LARRY R WALTON NPI 1790989549


NPI Information

NPI: 1790989549
Provider Name: LARRY R WALTON

Doing Business As: HAND SURGERY CENTER OF SOUTHWEST MI

Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
1220 WEST MILHAM AVE
PORTAGE, MI
ZIP 49024
Phone: (269) 382-9900
Get Directions

LARRY R WALTON is a hand surgery orthopaedic surgery in Portage, MI. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. LARRY R WALTON NPI is 1790989549. The provider is registered as an organization entity type.
The provider Is Doing Business As Hand Surgery Center Of Southwest Mi.

The provider's business location address is:

1220 WEST MILHAM AVE
PORTAGE, MI
ZIP 49024-206
Phone: (269) 382-9900
Fax: (269) 382-0700

The provider's authorized official is Larry Raymond Walton .
The authorized official title is Owner and has the following contact phone number (269) 382-9900.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier039773MICHIGANNo
2207XS0106XOrthopaedic SurgeryHand Surgery039773MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14495410001MEDICARE NSCMICHIGAN
2B74561MEDICARE UPINMICHIGAN
30N56560MEDICARE PINMICHIGAN
44079644MEDICAIDMICHIGAN
5039279OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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