MEDICARE: WILLIAM C FALTERMAYER D.O

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	207Q00000X	Family Medicine Physician	OS009346L	PA
2	207Q00000X	Family Medicine Physician	200701504	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00436411	OTHER	NC	RAILROAD MEDICARE
3	CN8132	OTHER	NC	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	14725	OTHER	NC	BCBS NC

General Provider Information

NPI Number	:	1598767006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM C FALTERMAYER D.O

Provider Business Mailing Address
First Line	:	1701 WESTCHESTER DR
Second Line	:	SUITE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7008
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

Provider Business Practice Location Address
First Line	:	2359 SPRINGS RD NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-3067
Country	:	US
Telephone Number	:	828-256-9853
Fax Number	:	828-256-1255

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	05/07/2013

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