MEDICARE: DR. WALTER ARNOLD HOERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	7874	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255445516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER ARNOLD HOERMAN MD

Provider Business Mailing Address
First Line	:	200 GRIFFIN RD STE 12A
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7145
Country	:	US
Telephone Number	:	603-457-7040
Fax Number	:	603-550-5244

Provider Business Practice Location Address
First Line	:	200 GRIFFIN RD STE 12A
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7145
Country	:	US
Telephone Number	:	603-692-4018
Fax Number	:	833-944-2270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	05/05/2025

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