Provider Demographics
NPI:1598767006
Name:FALTERMAYER, WILLIAM C (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:FALTERMAYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-802-2536
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:2359 SPRINGS RD NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3067
Practice Address - Country:US
Practice Address - Phone:828-256-9853
Practice Address - Fax:828-256-1255
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009346L207Q00000X
NC200701504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00436411OtherRAILROAD MEDICARE
NC14725OtherBCBS NC
NCCN8132OtherMEDICARE RAILROAD
NC14725OtherBCBS NC
NCCN8132OtherMEDICARE RAILROAD
PA17419Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NC2403986Medicare PIN
NCG79782Medicare UPIN