MR. WALTER J SUBER D.P.M. NPI 1174526461

NPI Information

NPI: 1174526461
Provider Name: MR. WALTER J SUBER, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Address:
514 S DARGAN ST
STE F
FLORENCE, SC
ZIP 29506
Phone: (843) 662-6781
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MR. Walter J Suber, D.P.M. is a foot surgery podiatrist in Florence, SC. MR. Walter J Suber, D.P.M. NPI is 1174526461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

514 S DARGAN ST
STE F
FLORENCE, SC
ZIP 29506-552
Phone: (843) 662-6781
Fax: (843) 662-6720

The enumeration date for this NPI number is 5/31/2005 and was last updated on 12/23/2008.

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
1	213ES0131X	Podiatrist	Foot Surgery	00036	SOUTH CAROLINA	Yes

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
1	PDO369	MEDICAID	SOUTH CAROLINA
2	20-2414588	OTHER	SOUTH CAROLINA	EIN
3	480026354	OTHER	SOUTH CAROLINA	R.R. MEDICARE
4	Q240600281	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
5	U25104	MEDICARE UPIN	SOUTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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