JOLAN E WALTER M.D. NPI 1467649525

NPI Information

NPI: 1467649525
Provider Name: JOLAN E WALTER, M.D.
Classification: Pediatrics - 2080P0201X
Entity Type: Individual

Specialization: Pediatric Allergy/Immunology

PECOS Registration: Yes

Address:
601 5TH ST S
ACH OUTPATIENT CARE CENTER
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 898-7451
Get Directions

Jolan E Walter, M.D. is a pediatric allergy/immunology pediatrics in St Petersburg, FL with 22 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Jolan E Walter, M.D. NPI is 1467649525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 5TH ST S
ACH OUTPATIENT CARE CENTER
ST PETERSBURG, FL
ZIP 33701-804
Phone: (727) 898-7451

The NPI 1467649525 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/27/2020.

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	207K00000X	Allergy & Immunology		233737	MASSACHUSETTS	No
2	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	ME127615	FLORIDA	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	017059500	MEDICAID	FLORIDA

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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