MR. PERRY T WALTERS (NPI# 1790844165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790844165 |
| Entity Type | Individual |
| Full Name | MR. PERRY T WALTERS |
| Credential | MD |
| Practice Address |
425 Medical Dr Suite 112 Bountiful UT 84010 |
| Practice Telephone | 8012927249 |
| Practice Fax Number | 8012927251 |
| Mailing Telephone | 8012927249 |
| Mailing Fax Number | 8012927251 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 1545581205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
425 MEDICAL DR SUITE 112 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
| 1407394927 | Wellsprings LLC | Clinic/Center | 425 Medical Dr, Bountiful, UT 84010-4945 | 2017-02-03 |
| 1710344973 | Summit Speech Therapy | Speech-Language Pathologist | 425 Medical Dr, Suite #122, Bountiful, UT 84010-4945 | 2016-01-19 |
| 1881060523 | Emily Peck | Physician Assistant | 425 Medical Dr, Suite 205, Bountiful, UT 84010-4945 | 2015-08-17 |
| 1407242993 | Allan C Edson, D.o., PC | Internal Medicine | 425 Medical Dr, Suite 207, Bountiful, UT 84010-4945 | 2015-04-10 |
| 1528389723 | Melanie Oliver | Nurse Practitioner | 425 Medical Dr, Suite 118, Bountiful, UT 84010-4945 | 2010-06-22 |
| 1740511518 | Bountiful Hearing Center, Pllc | Hearing Aid Equipment | 425 Medical Dr, Suite 200, Bountiful, UT 84010-4945 | 2010-01-19 |
| 1619106770 | James E Hillstrom | Dentist | 425 Medical Dr, Suite 211, Bountiful, UT 84010-4945 | 2009-07-10 |
| 1003056862 | Louis S. Naegle, Lcsw, P.C. | Marriage & Family Therapist | 425 Medical Dr, Suite 212, Bountiful, UT 84010-4945 | 2009-03-05 |
| 1740428549 | Jeffery R. Oka, M.d., P.C. | Specialist | 425 Medical Dr, Suite 108, Bountiful, UT 84010-4945 | 2009-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083922926 | Perry T. Walters, M.d. PC | Urology | 425 Medical Drive #112, Bountiful, UT 84010 | 2010-09-14 |
| 1417933284 | David J Henderson | Urology | 620 East Medical Dr, Suite 300, Bountiful, UT 84010-5171 | 2005-12-22 |
| 1851314066 | Justin Paul Parkinson | Urology | 1551 Renaissance Towne Dr, Suite 370, Bountiful, UT 84010-7667 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945061 | Utah Urology Works LLC | Urology | 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 | 2020-06-05 |
| 1619402286 | Andrew Mazzone | Urology | University of Utah Som Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132-0001 | 2017-04-20 |
| 1588195135 | Laurel S. Mast | Urology | 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 | 2017-03-24 |
| 1164845517 | Bruce Wayne Carlin | Urology | 375 Old Farm Ln, Coalville, UT 84017-6706 | 2014-01-21 |
| 1104182476 | Jeffrey David Sparenborg | Urology | 1157 N 300 W Ste 301, Provo, UT 84604-6124 | 2012-04-11 |
| 1588933527 | Hal H Bourne | Urology | 3250 Millcreek Dell Ln, Salt Lake City, UT 84109-3184 | 2011-12-20 |
| 1740598887 | Ihc Health Services Inc | Urology | 4403 Harrison Blvd Ste 4440, Ogden, UT 84403-3291 | 2010-09-23 |
| 1447589288 | Joseph Robert Armstrong | Urology | 3291 Piute Dr, Provo, UT 84604-4849 | 2009-12-07 |
| 1851627756 | Ned Legrande Mangelson | Urology | 2691 Roxbury Cir, Salt Lake City, UT 84108-2841 | 2009-10-27 |
| 1558593046 | Thomas S Brinton | Urology | 1380 E Medical Center Dr Ste 2100, St George, UT 84790 | 2009-08-17 |
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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.