WALTER S. FASOLAK DO – NPI #1497716211
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

WALTER FASOLAK is a physician located in SOUTHERN PINES, NC. NPPES has assigned the NPI number 1497716211 to WALTER FASOLAK on March 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 16 years ago on Feb 25, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALTER FASOLAK below.

NPI Profile for
WALTER S. FASOLAK

NPI Number
1497716211
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALTER S. FASOLAK
Credentials
DO
Primary location
145 APPLECROSS RD
SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Phone: (910) 692-7928 Fax: (910) 692-5962
Mailing address
PO BOX 749
SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28388-0749
Phone: (910) 692-7928 Fax: (910) 692-5962
Sole Proprietor
No
Updated
Identifiers

Identifiers for WALTER FASOLAK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD31369
OTHERFIRST CAROLINA CAREFH1000115
OTHERGHI9663436
OTHERMEDCOST42653
OTHERMEDICARE RAILROAD980000066
MEDICAIDNC8931369
MEDICAIDSCQ39728
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
NC 39728

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS - Graduated 1984
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WALTER FASOLAK is affiliated with the following medical group(s):
  • HOSPITAL
    • FIRSTHEALTH MOORE REGIONAL HOSPITAL
      155 MEMORIAL DRIVE
      PINEHURST, NC 28374

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.