TODD J WALTRIP (MD) – Surgery Physician, NPI 1174553432

TODD J WALTRIP (MD) is a healthcare provider. based in Longview, Texas. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. K9452 (TX). The NPI Number for TODD J WALTRIP (MD) is 1174553432

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TODD J WALTRIP (MD)
NPI
1174553432
Phone
(903) 315-2762
Address
703 E Marshall Ave
Enumeration Date
3 July 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
4143858600
Graduation Year
1994 (32 years ago)
PAC ID
6709877467
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20171016002871
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for TODD J WALTRIP (MD)

  • 703 E Marshall Ave

    Suite 3000

    Longview, TX 756015500

    Phone: (903) 315-2762

    Fax: (903) 315-2595

    Type: Location

  • 2801, West Kinnickinnic River Parkway, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    MILWAUKEE, WI 532153669

    Phone: (414) 649-3240

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709794258View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm TODD J WALTRIP (MD)'s NPI?
Yes. TODD J WALTRIP (MD) is listed with NPI 1174553432 in the public NPI dataset.
Does CMS list TODD J WALTRIP (MD) as active?
Yes — TODD J WALTRIP (MD) is active in the NPI listing used on this page.
What healthcare role does TODD J WALTRIP (MD) hold?
Scheduling teams often label TODD J WALTRIP (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect TODD J WALTRIP (MD) on a map?
Expect Longview, Texas as a primary anchor for TODD J WALTRIP (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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