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

Dr. Walter S Fasolak, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1497716211

Dr. Walter S Fasolak, DO is an Obstetrics/Gynecology in Southern Pines, North Carolina. Graduated from Kansas City University of Physicians and Surgeons in 1984, 42 years ago. Practices with Mcpc-12 LLC, a 31-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
42
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
NC
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

145 Applecross Rd Southern Pines Womens Health Center Pc
Southern Pines, NC 28387
Phone: (910) 692-7928
Fax: (910) 692-5962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 39728 (NC)

Record details

NPI number1497716211
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESFebruary 25, 2010

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 1984 (42 years in practice)
Group practice McPc-12 Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southern Pines