Individual
DR. JOHN A WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2384 N MEMORIAL DR, LANCASTER, OH 43130-1637
(740) 689-4935
(740) 689-4889
Mailing address
1153 E MAIN ST, PO BOX 2563, LANCASTER, OH 43130-4056
(740) 687-8990
(740) 687-8230
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34.007840
OH
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
34.007840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000335626
ANTHEM BC/BS
OH
01
—
0761750
CIGNA
OH
01
—
2300943
UNITEDHEALTHCARE
OH
05
—
2491825
—
OH
01
—
311639119029
CARESOURCE MEDICAID
OH
01
—
7162600
AETNA
OH
01
—
P00140797
RAILROAD MEDICARE
OH
Enumeration date
01/04/2006
Last updated
10/31/2019
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