LAUREL A WALTON DO SC NPI 1063797108

NPI Information

  • NPI: 1063797108
  • Provider Name: LAUREL A WALTON DO SC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1770 E LAKE SHORE DR
    STE 309
    DECATUR, IL
    ZIP 62521
  • Phone: (217) 422-9740

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NPI Details

LAUREL A WALTON DO SC is an obstetrics gynecology in Decatur, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LAUREL A WALTON DO SC NPI is 1063797108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1770 E LAKE SHORE DR
STE 309
DECATUR, IL
ZIP 62521-832
Phone: (217) 422-9740
Fax: (217) 422-7813

The provider's authorized official is Laurel A Walton .
The authorized official title is Owner and has the following contact phone number (217) 422-9740.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 7/23/2012.

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
1207V00000XObstetrics & Gynecology036082675ILLINOISYes

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
1DS5862MEDICARE OSCAR/CERTIFICATIONILLINOIS
2IL6614MEDICARE PINILLINOIS

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: 11/21/2025

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