MEDICARE: JANE WALTA R.D.

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	133V00000X	Registered Dietitian	915	OK

General Provider Information

NPI Number	:	1477881712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE WALTA R.D.

Provider Business Mailing Address
First Line	:	204 PRIMROSE LN
Second Line	:
City	:	GORE
State	:	OK
Zip	:	74435-5605
Country	:	US
Telephone Number	:	918-316-4572
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 PRIMROSE LN
Second Line	:
City	:	GORE
State	:	OK
Zip	:	74435-5605
Country	:	US
Telephone Number	:	918-316-4572
Fax Number	:

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

Provider Enumeration Date	:	11/25/2009
Last Update Date	:	05/26/2025

Similar Medicare Providers

1235130709 — WILLIAM ROBERT ANDERSON DO
Practice Location Address:

700 N MAIN
GORE, OK
74435

Practice Phone: 918-489-5757
Practice Fax: 918-489-5411

1548262132 — GORE GREEN COUNTRY DRUG, INC.
Practice Location Address:

305 N MAIN ST
GORE, OK
74435-0330

Practice Phone: 918-489-5558
Practice Fax: 918-489-5359

1487683959 — GORE HEALTH SERVICES, LLC
Practice Location Address:

503 S MAIN ST
GORE, OK
74435-2010

Practice Phone: 918-489-2299
Practice Fax: 918-489-2806

1558390146 — DR. ARNIE D MCGEE D.D.S.
Practice Location Address:

HIGHWAY 10 AND WATER TOWER ROAD
GORE, OK
74435

Practice Phone: 918-489-5155
Practice Fax: 918-489-5156

1134335771 — NOEL STUBBS
Practice Location Address:

RR 1 BOX 239
GORE, OK
74435-9510

Practice Phone: 918-487-5452
Practice Fax:

1053542142 — GORE EYE CLINIC PLLC
Practice Location Address:

202 N MAIN
GORE, OK
74435

Practice Phone: 918-489-2512
Practice Fax:

Directions to “ JANE WALTA R.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.