WILLIAM P WALKER III (NPI# 1811030935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811030935 |
| Entity Type | Organization |
| Organization Name | WILLIAM P WALKER III |
| Other Organization Name | SEASIDE INTERNAL MEDICINE |
| Practice Address |
204 Smith Ave Shallotte NC 28470 |
| Mailing Address |
Po Box 928 Shallotte NC 28459 |
| Practice Telephone | 9107556232 |
| Practice Fax Number | 9107555984 |
| Mailing Telephone | 9107556232 |
| Mailing Fax Number | 9107555984 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM P WALKER III (OWNER) |
| Authorized Official Telephone | 9107556232 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9500754 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 85373 | 01 |
| NC | 8985373 | 05 |
| Other Name | Type Code |
|---|---|
| Seaside Internal Medicine | Doing Business As Name - Organization |
| Street Address |
204 SMITH AVE |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730642109 | Tamara Faucette Marshall | Nurse Practitioner | 204 Smith Ave, Shallotte, NC 28470-4458 | 2019-04-11 |
| 1386177855 | Novant Medical Group,inc | Internal Medicine | 204 Smith Ave, Shallotte, NC 28470-4458 | 2017-04-11 |
| 1568901254 | Novant Medical Group, Inc | Psychiatry & Neurology | 204 Smith Ave, Shallotte, NC 28470-4458 | 2017-02-15 |
| 1124579750 | Novant Medical Group, Inc | Psychologist | 204 Smith Ave, Shallotte, NC 28470-4458 | 2016-10-19 |
| 1194274480 | Olapeju A Popoola | Physician Assistant | 204 Smith Ave, Shallotte, NC 28470-4458 | 2016-09-27 |
| 1528405602 | Kayleigh Davis Defoore | Physician Assistant | 204 Smith Ave, Shallotte, NC 28470-4458 | 2013-05-29 |
| 1316126485 | Virginia Czimber | Internal Medicine | 204 Smith Ave, Shallotte, NC 28470-4458 | 2007-10-25 |
| 1285830414 | Phelps Family Practice, Pllc | Nurse Practitioner | 204 Smith Ave, Shallotte, NC 28470-4458 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386786820 | Novant Medical Group, Inc. | Internal Medicine | 460 Holden Beach Rd, Shallotte, NC 28470-1711 | 2007-02-13 |
| 1578564142 | William P Walker IIi | Internal Medicine | 712 Village Rd Sw, Suite 206, Shallotte, NC 28470-3448 | 2005-08-09 |
| 1689125858 | Rdmg Associates Pa | Internal Medicine | 4748 Main Street, Shallotte, NC 28470 | 2016-10-21 |
| 1295772341 | Kevin David Price | Internal Medicine | 5145 Sellers Rd, Shallotte, NC 28470-3405 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
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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.