WALTER E. EGERTON, III M.D. – NPI #1194851063
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

WALTER EGERTON, III is a physician located in FRESNO, CA. NPPES has assigned the NPI number 1194851063 to WALTER EGERTON, III on February 26, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. 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 EGERTON, III below.

NPI Profile for
WALTER E. EGERTON, III

NPI Number
1194851063
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALTER E. EGERTON, III
Credentials
M.D.
Primary location
1303 E HERNDON AVE
FRESNO, CA 93720
Phone: (559) 450-7098 Fax: (559) 450-4238
Mailing address
175 CAMPUS LAKES CT
BEL AIR, MD 21015-1713
Phone: (410) 734-0211 Fax: (410) 734-6610
Sole Proprietor
Yes
Updated
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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
CA C146978
208000000X
- Pediatrics
NC 25492

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.