Look up the most recent NPI and PECOS records

Walter W Ohara

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6550 Fannin St, Suite 1401, Houston, TX 77030-2717

PECOS Enrollment

This provider is enrolled in PECOS as WALTER OHARA.

Based on the most recent information from CMS, provider Walter W Ohara is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1376541789
Provider Type
Individual
Full Name
Ohara, Walter W
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/9/2005
Last Updated
10/18/2017

Contact Information

Practice Location

6550 Fannin St, Suite 1401, Houston, TX 77030-2717

(713) 441-5200

(713) 793-7428

Mailing Location

6550 Fannin St, Suite 1401, Houston, TX 77030-2717

(713) 441-5200

(713) 793-7428

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License N8699 Texas
Code 208G00000X	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 0429755 Kansas

Provider Identifiers

ID	Description	Issuer
ID 1376541789	Description Other	Issuer BLUE CROSS BLUE SHIELD Texas
ID 280663002	Description Medicaid	Issuer Unlisted Texas
ID 100422750A	Description Medicaid	Issuer Unlisted Kansas
ID 280663001	Description Medicaid	Issuer Unlisted Texas
ID 280663004	Description Medicaid	Issuer Unlisted Texas
ID 280663003	Description Medicaid	Issuer Unlisted Texas
ID P01301598	Description Other	Issuer RR MEDICARE Texas

Walter W Ohara

PECOS Enrollment

Profile Details

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