IndividualActive
Gerald Walters, MS, PA-C
NPI 1104888015 · Physician Assistant · Baltimore, MD
Provider details
- NPI number
- 1104888015
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MS, PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- C0000072 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
20 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
600 N. Wolfe St Blalock 544
Johns Hopkins Medicine Division of Interventional Radio
Baltimore, MD 21287-4010
Phone: (410) 614-6938
Fax: (410) 955-0233
Street-level locationGet directions
Mailing address
1501 Park Hill Ct
Fallston, MD 21047
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.