PETER A WALTS (NPI# 1417982620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417982620 |
| Entity Type | Individual |
| Full Name | PETER A WALTS |
| Credential | MD |
| Practice Address |
8433 Harcourt Rd Ste 100 Indianapolis IN 46260 |
| Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
| Practice Telephone | 3175837600 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01059506A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS PIN | 000000341622 | 01 | |
| IN | 200510810 | 05 | |
| RAILROAD MEDICARE PIN | P00145833 | 01 |
| Street Address |
8433 HARCOURT RD STE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235138504 | Gregory C Yerington | Anesthesiology | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2005-07-19 |
| 1386251189 | Nicole Dianne Frick | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2020-09-25 |
| 1821612391 | Sophie Elizabeth Brown | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2020-06-01 |
| 1942823604 | Sara Monhollen | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2020-05-28 |
| 1275989931 | Sarah Jo Graham | Nurse Practitioner | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260 | 2016-05-11 |
| 1578944427 | Sarah Strot | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2015-06-17 |
| 1023416872 | Davina Ananias | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2014-12-10 |
| 1164841102 | Gregory S Clark | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2014-04-07 |
| 1598193807 | Emily Elizabeth Shumaker | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2013-10-23 |
| 1285066472 | Nathan Joseph Woebkenberg | Physician Assistant | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2013-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063900249 | Patrick Finnan Vining | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 Barnhill Dr Emerson Hall 215, Indianapolis, IN 46202 | 2018-04-24 |
| 1588084685 | Ashish Pulikal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7120 Clearvista Dr Ste 5300, Indianapolis, IN 46256-5300 | 2014-04-16 |
| 1336381680 | Giorgio Zanotti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10590 N Meridian St # 105, Indianapolis, IN 46290-1028 | 2009-04-01 |
| 1134207095 | Lawrence S Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1801 N Senate Ave Mpc2 #3300, Indianapolis, IN 46202-1228 | 2006-11-01 |
| 1578643284 | Thomas G Sharp | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 Barnhill Dr # Eh215, Indianapolis, IN 46202-5112 | 2006-10-17 |
| 1851489934 | Cardiac and Vascular Surgery Associates,p.c. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7914 N Shadeland Ave, Suite 100, Indianapolis, IN 46250-2041 | 2006-10-11 |
| 1356438626 | Manesh Parikshak | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5255 East Stop 11 Rd., Ste 200, Indianapolis, IN 46237 | 2006-10-06 |
| 1699880088 | Yousuf Mahomed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 Barnhill Dr Eh 215, Indianapolis, IN 46202 | 2006-08-19 |
| 1588699714 | Scott A Hanan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2006-07-12 |
| 1497757249 | Joseph S. Ladowski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1801 N Senate Blvd Mpc2 #3300, Indianapolis, IN 46202 | 2005-08-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.