Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Frederick P Walters, MD

Individual provider Urology Physician · NPI 1114952074

Dr. Frederick P Walters, MD is an Urology in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 1987, 39 years ago. Practices with South County Urological, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
39
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12345 W Bend Dr SUITE200
Saint Louis, MO 63128-2104
Phone: (314) 843-8000
Fax: (314) 843-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence R1J55 (MO)

Record details

NPI number1114952074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESFebruary 22, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice South County Urological, Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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