IndividualActive
Larry Walton
NPI 1063440311 · Specialist · Portage, MI
Larry Walton is a Specialist provider in Portage, MI (NPI 1063440311).
Provider details
- NPI number
- 1063440311
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 039773 (MI)
Specialties & taxonomies
Other Service Providers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1220 West Milham Ave
Portage, MI 49024-1206
Phone: (269) 382-9900
Fax: (269) 382-0700
Street-level locationGet directions
Mailing address
1220 West Milham Ave
Portage, MI 49024-1206
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2011-08-11
Frequently asked questions
- What is Larry Walton's NPI number?
- Larry Walton's National Provider Identifier (NPI) is 1063440311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Walton's specialty?
- Larry Walton is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Larry Walton located?
- Larry Walton's practice location on file with NPPES is 1220 West Milham Ave, Portage, MI 49024-1206.
- What is Larry Walton's phone number?
- The practice phone number listed in the NPPES registry for Larry Walton is (269) 382-9900.
- Is Larry Walton's NPI active?
- Yes — Larry Walton's NPI (1063440311) is active in the NPPES registry as of the last update on 2011-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.