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MR. GERALD KEITH WALTERS MS, PA-C
NPI 1104888015
Physician Assistant in Baltimore, MD

Active since April 05, 2006
600 N. WOLFE ST BLALOCK 544, JOHNS HOPKINS MEDICINE DIVISION OF INTERVENTIONAL RADIO, BALTIMORE, MD 21287(410) 614-6938(410) 955-0233 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gerald Keith Walters Ms, Pa-c NPPES

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

MR. GERALD KEITH WALTERS MS, PA-C (NPI 1104888015) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C-00072) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1104888015
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GERALD KEITH WALTERSCredential: MS, PA-C
Location Address600 N. WOLFE ST BLALOCK 544, JOHNS HOPKINS MEDICINE DIVISION OF INTERVENTIONAL RADIOBaltimore, MD 21287-4010
Mailing Address1501 Park Hill CtFallston, MD 21047 · (443) 686-0905 · Fax (410) 879-2048
Phone(410) 614-6938
Fax(410) 955-0233
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1104888015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C-00072
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License C0000072 (MD)
600 N. WOLFE ST BLALOCK 544, Baltimore, MD 21287
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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 Gerald Walters's NPI number?

The NPI number for Gerald Walters is 1104888015. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Gerald Walters located?

Gerald Walters practices at 600 N. Wolfe St Blalock 544 Johns Hopkins Medicine Division Of Interventional Radio, Baltimore, MD 21287. The listed phone number is (410) 614-6938.

What is Gerald Walters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Gerald Walters was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.