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Deactivated NPI 1114918463 Deactivated / Inactive NPI Male Practitioner

Dr. Walter H Ettinger , MD

Internal Medicine • Worcester, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Walter Ettinger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2005
NPI Deactivation Date December 02, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Ettinger, MD was a registered Internal Medicine practicing in Worcester, MA. Throughout an active medical career spanning 17 years, Dr. Ettinger provided care at the practice location at 55 LAKE AVE N until profile deactivation on 2022-12-02.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Hospital Administration

Worcester, MA 016550002

Telephone 5083340290
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate
15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 222393

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Hillary Irons , MD

Emergency Medicine

NPI 1003041971

Doctor of Medicine (M.D.)

Eileen Duhamel , NP

Nurse Practitioner

NPI 1003054727

Nurse Practitioner

Ewa Hryniszyn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003056284

Certified Registered Nurse Anesthetist

Helen Copsey , PA-C

Physician Assistant

NPI 1003066804

Physician Assistant (Certified)

Dr. Adepeju Champion , MD

Internal Medicine

NPI 1003090499

Doctor of Medicine (M.D.)

Sowmya Korapati

Internal Medicine - Hematology & Oncology

NPI 1003108259

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 02, 2022

Record deactivated on December 02, 2022

NPI Profile Active April 13, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 13, 2009

Registered at 55 LAKE AVE N, HOSPITAL ADMINISTRATION, WORCESTER, MA 016550002 (Tel: 5083340290)

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Updated Business Mailing Address April 13, 2009

Registered at PO BOX 415348, BOSTON, MA 022415348

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Provider Name / Credentials Updated April 13, 2009

Recorded as WALTER ETTINGER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2009

Internal Medicine (License #222393 in MA)

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Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114918463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: April 13, 2009
Deactivation Date: December 02, 2022

Mailing Address

Po Box 415348

Boston, MA 022415348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.