KENNETH WALLMEYER MD NPI 1104911528

NPI Information

NPI: 1104911528
Provider Name: KENNETH WALLMEYER, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
306 WESTWOOD AVE
SUITE 401
HIGH POINT, NC
ZIP 27262
Phone: (336) 885-6168
Get Directions

Kenneth Wallmeyer, MD is a cardiovascular disease internal medicine in High Point, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kenneth Wallmeyer, MD NPI is 1104911528. 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:

306 WESTWOOD AVE
SUITE 401
HIGH POINT, NC
ZIP 27262-341
Phone: (336) 885-6168
Fax: (336) 885-8523

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/25/2009.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	2006-01504	NORTH 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	5905908	MEDICAID	NORTH CAROLINA
2	B57443	MEDICARE UPIN	NORTH CAROLINA
3	2061089B	MEDICARE PIN	NORTH CAROLINA
4	P00654539	OTHER	NORTH CAROLINA	RR MEDICARE

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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