Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487757977 Individual Practitioner Male Practitioner

Dr. Walter Etchelles Davis , MD

Specialist • Boone, NC

Professional Overview & Biography Verified Profile Summary

Dr. Walter Davis, MD is a registered healthcare professional specializing in Specialist in Boone, NC. Practice services are available at 184 VIRGINIA STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

184 Virginia Street

Boone, NC 28607

Telephone 8282624332
Fax 8282655514
Associated Practice Facility / Clinic
🏢 Watauga Medical Center Inc Facility NPI 1972308930

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boone, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Boone, NC (945 Statewide)

Telehealth Adoption Rate
0.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC 15051

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
890211X (NC)
Commercial Insurance / Payer ID Blue Cross Blue Shield Nc
0211X (NC)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Khurram Tariq , MD

Internal Medicine - Hematology & Oncology

NPI 1144586181

Doctor of Medicine (M.D.)

NPI 1497858765

Doctor of Medicine (M.D.)

Marcia Molnar , PA-C

Physician Assistant

NPI 1598851677

Physician Assistant (Certified)

Kara Fore-Flores

Nurse Practitioner

NPI 1790547115

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 184 VIRGINIA STREET, BOONE, NC 28607 (Tel: 8282624332)

📍
Updated Business Mailing Address July 08, 2007

Registered at 266 RIVER KNOLL PL, JEFFERSON, NC 286409392 (Tel: 3369823776)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER DAVIS, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #15051 in NC)

🟢
Initial NPI Registration & Enumeration September 07, 2006

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: 1487757977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

266 River Knoll Pl

Jefferson, NC 286409392

Phone: 3369823776

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.