DR. PHILIP WALTHER (NPI# 1003996018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003996018 |
| Entity Type | Individual |
| Full Name | DR. PHILIP WALTHER |
| Credential | M.D. |
| Practice Address |
4101 N Roxboro St Durham NC 27704-2121 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086X0206X |
Surgery Specialization: Surgical Oncology |
25843 | NC | Allopathic & Osteopathic Physicians |
| X | 208800000X | Urology | 25843 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8985535 | 05 |
| Street Address |
4101 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884749 | Mariam Susan Latuga | Pediatrics | 4101 N Roxboro St, Durham, NC 27704-2121 | 2005-07-13 |
| 1265559660 | Susan E. Totten | Dietitian, Registered | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-23 |
| 1588789929 | Perri Anne Morgan | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-21 |
| 1629106687 | Melissa Merrill Burkett | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-01 |
| 1669516720 | Elisabeth A Smith | Psychiatry & Neurology | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-20 |
| 1932243995 | Kelly Ann Asher | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-16 |
| 1386783454 | Maria Baird Plentl | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27710-0001 | 2007-02-06 |
| 1588717037 | Debra Kohlman-trigoboff | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-19 |
| 1700937760 | Melanie Hicks Meadows | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
| 1659422608 | Jennifer Annette Tenhover | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
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| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467852137 | Kenneth Leung | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2014-08-29 |
| 1417290750 | Mathias Worni | Surgery | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2013-04-05 |
| 1285830604 | Michael T Stang | Surgery | 2301 Erwin Rd, Durham, NC 27710-3215 | 2007-06-22 |
| 1730242512 | Cary Robertson | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1578583779 | Dan German Blazer IIi | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-07-20 |
| 1790726941 | Scott Knowles Pruitt | Surgery | 508 Fulton St, Durham Va Medical Center, Durham, NC 27705-3875 | 2006-06-09 |
| 1871531624 | Randall Paul Scheri | Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558604520 | Benjamin William Deschner | Surgery | 21 Hospital Dr Fl 2, Asheville, NC 28801-4550 | 2013-03-28 |
| 1578072989 | Carter Martens | Surgery | 2104 Randolph Rd, Charlotte, NC 28207-1522 | 2017-09-28 |
| 1942554969 | Sonia Rosanne Cader | Surgery | 170 Manning Dr, 1150 Physicians Office Bldg., Cb#721, Chapel Hill, NC 27514-4221 | 2012-10-29 |
| 1033489687 | The Charlotte-mecklenburg Hospital Authority | Surgery | 10826 Mallard Creek Rd, Suite 100, Charlotte, NC 28262-7782 | 2012-01-12 |
| 1659692440 | Princess Nicole Thomas | Surgery | 150 Fairview Rd, Ste 110, Mooresville, NC 28117-9506 | 2010-06-16 |
| 1699902742 | Amy Voci | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-06-16 |
| 1073768461 | Western Surgical Center, Pa | Surgery | 60 Livingston St, Suite 300, Asheville, NC 28801 | 2008-11-26 |
| 1861645046 | Zvonimir Milas | Surgery | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2008-10-31 |
| 1871758235 | Michelle Marie Fillion | Surgery | 2131 S 17th St, Wilmington, NC 28401-7407 | 2008-07-25 |
| 1508021932 | Ashley Stewart | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2008-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.