DR. WALTER RAYFORD (NPI# 1821103151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821103151 |
| Entity Type | Individual |
| Full Name | DR. WALTER RAYFORD |
| Credential | M.D., PHD., FACS |
| Practice Address |
6029 Walnut Grove Rd Suite 300 Memphis TN 38120-2112 |
| Practice Telephone | 9017678158 |
| Practice Fax Number | 9017671555 |
| Mailing Telephone | 9017678158 |
| Mailing Fax Number | 9017671555 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 19176 | MS | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 40580 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3336328 | 05 | |
| MS | MS MEDICARE PTAN | 512I340011 | 01 |
| TN | BCBS | 4169189 | 01 |
| MS | 00127083 | 05 | |
| MS | MS MEDICARE GROUP NUMBER | C00393 | 01 |
| Street Address |
6029 WALNUT GROVE RD SUITE 300 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819269 | Aleksandar Jankov | Internal Medicine | 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120-2112 | 2005-05-23 |
| 1932731957 | Summer Rhae Hess | Nurse Practitioner | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2020-02-07 |
| 1396207882 | Ashley Marie Hatchett | Nurse Practitioner | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2019-04-03 |
| 1477966687 | Saint Francis Medical Partners, General Surgery, L.L.C. | Colon & Rectal Surgery | 6029 Walnut Grove Rd, Ste. 404, Memphis, TN 38120-2112 | 2014-06-05 |
| 1164745238 | Mid South Regional Thoracic Center, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 100, Memphis, TN 38120-2112 | 2010-03-03 |
| 1104056555 | Rachel E. Harrison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2009-07-20 |
| 1063673184 | Cardiac Surgery Associates, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6029 Walnut Grove Rd, Suite 109, Memphis, TN 38120-2112 | 2008-06-20 |
| 1578723276 | Drew S. Dill | Internal Medicine | 6029 Walnut Grove Rd, Memphis, TN 38120-2112 | 2008-06-16 |
| 1336313170 | Anton Surath Nisetus Dias Perera | Surgery | 6029 Walnut Grove Rd, Suite # 401, Memphis, TN 38120-2112 | 2008-04-14 |
| 1730361429 | Memphis Eye Clinic Plc | Ophthalmology | 6029 Walnut Grove Rd, Suite 101, Memphis, TN 38120-2112 | 2007-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| 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 |
|---|---|---|---|---|
| 1700101441 | Zachary Corr | Urology | 6029 Walnut Grove Rd Ste 300, Memphis, TN 38120 | 2010-04-06 |
| 1558522367 | Charles R. Wallace, Jr., Md | Urology | 1325 Eastmoreland Ave Ste 425, Memphis, TN 38104-7541 | 2008-06-24 |
| 1659389781 | Maurizio Buscarini | Urology | 910 Madison Ave Rm 409, Memphis, TN 38103-3403 | 2006-08-04 |
| 1710902440 | Leslie R Mcgowan | Urology | 6027 Walnut Grove Suite 319, The Urology Group PC, Memphis, TN 38120-2128 | 2006-07-13 |
| 1235164286 | David A Gubin | Urology | 6029 Walnut Grove Rd., Suite 300, Memphis, TN 38120 | 2006-07-11 |
| 1710945860 | Robert Alfred Donato | Urology | 995 S Yates Rd, Suite 1, Memphis, TN 38119-0882 | 2006-05-01 |
| 1316496664 | Wallace Urology Inc | Urology | 1325 Eastmoreland Ave Ste 425, Memphis, TN 38104-7541 | 2016-09-28 |
| 1902194897 | S K Ganguli Md PC | Urology | 6005 Park Ave, Suite 308, Memphis, TN 38119-5202 | 2011-07-13 |
| 1417272063 | Matthew Jude Mutter | Urology | 880 Madison Ave, Memphis, TN 38103-3409 | 2010-04-06 |
| 1306089206 | Baptist Memorial Medical Group Inc | Urology | 8970 Winchester Rd, Memphis, TN 38125-8231 | 2009-04-08 |
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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.