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LARRY R WALTON
NPI 1063440311
Specialist in Portage, MI

Active since June 28, 2006
1220 WEST MILHAM AVE, PORTAGE, MI 49024(269) 382-9900(269) 382-0700 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry R Walton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY R WALTON (NPI 1063440311) is an individual specialist in Portage, Michigan, licensed in Michigan (039773) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063440311
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLARRY R WALTON
Location Address1220 WEST MILHAM AVEPortage, MI 49024-1206
Mailing Address1220 West Milham AvePortage, MI 49024-1206 · (269) 382-9900 · Fax (269) 382-0700
Phone(269) 382-9900
Fax(269) 382-0700
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 11, 2011
✔ NPI 1063440311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 039773
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 039773 (MI)
1220 WEST MILHAM AVE, Portage, MI 49024
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Other Identifiers 5

Medicare UPINB47561MI
Medicare PIN0N56560MI
Other039279MI · Bcbs Provider Id
Medicaid4079644MI
Medicare NSC4495410001MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY R WALTON
Orthopaedic Surgery (Hand Surgery)
1220 WEST MILHAM AVE
PORTAGE, MI 49024
Kalamazoo County (269) 382-9900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Walton's NPI number?

The NPI number for Larry Walton is 1063440311. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Larry Walton located?

Larry Walton practices at 1220 West Milham Ave, Portage, MI 49024. The listed phone number is (269) 382-9900.

What is Larry Walton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Larry Walton was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.