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MATTHEW TIMOTHY WALTER M.D. NPI 1386640175


NPI Information

NPI: 1386640175
Provider Name: MATTHEW TIMOTHY WALTER, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: FREEMAN NEOSHO HOSPITAL

PECOS Registration: Yes

Address:
225 N BLOOMINGTON ST
SUITES B-D
LOWELL, AR
ZIP 72745
Phone: (479) 757-5054
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Matthew Timothy Walter, M.D. is a family medicine in Lowell, AR with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Matthew Timothy Walter, M.D. NPI is 1386640175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

225 N BLOOMINGTON ST
SUITES B-D
LOWELL, AR
ZIP 72745-103
Phone: (479) 757-5054
Fax: (479) 757-5055

The NPI 1386640175 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 6/26/2005 and was last updated on 4/20/2021.


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
1207P00000XEmergency Medicine2015019923MISSOURINo
2207Q00000XFamily MedicineE-0008ARKANSASYes

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
1129927001MEDICAIDARKANSAS

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: 11/14/2023

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.