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KENNETH BRIAN WALTON MD NPI 1699719179


NPI Information

NPI: 1699719179
Provider Name: KENNETH BRIAN WALTON, MD
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1058 BERMUDA RUN ROAD
STATESBORO, GA
ZIP 30458
Phone: (912) 871-7100
Get Directions

Kenneth Brian Walton, MD is a thoracic surgery cardiothoracic vascular surgery in Statesboro, GA with 26 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Kenneth Brian Walton, MD NPI is 1699719179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1058 BERMUDA RUN ROAD
STATESBORO, GA
ZIP 30458-858
Phone: (912) 871-7100
Fax: (912) 871-7110

The NPI 1699719179 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Removal of gallbladder using an endoscope (HCPCS:47562)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 9/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery065436GEORGIANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)065436GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1014459259OTHERGEORGIAAMERIGROUP
2P01108293OTHERGEORGIARAILROAD MEDICARE
3003107922AMEDICAIDGEORGIA
452343669OTHERGEORGIABCBS
5626252OTHERGEORGIAWELLCARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.