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

Nicholas Dean Walther, MD

Individual provider Emergency Medicine Physician · NPI 1366907727

Nicholas Dean Walther, MD is an Emergency Medicine in Fort Campbell, Kentucky. Graduated from Northeastern Ohio University College of Medicine in 2019, 7 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Nebraska and Tennessee.

Years since qualifying
7
Trained at
Northeastern Ohio University College of Medicine
Licensed in
NE, TN
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 71561 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 32910 (NE)
General Practice Physician Taxonomy 208D00000X · Licence 32910 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366907727
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2019
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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