MR. LUKE M WALTERS (NPI# 1043577562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043577562 |
Entity Type | Individual |
Full Name | MR. LUKE M WALTERS |
Credential | PA-C |
Practice Address |
2320 Freeway Dr Mount Vernon WA 98273-5445 |
Mailing Address |
1400 E Kincaid St Attn: Credentialing Mount Vernon WA 98274-4127 |
Practice Telephone | 3608146810 |
Practice Fax Number | 3608146915 |
Mailing Telephone | 3604282500 |
Mailing Fax Number | 3604286485 |
Enumeration Date | 2012-04-20 |
Last Update Date | 2017-05-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | OA60738463 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA60738463 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2320 FREEWAY DR |
City | MOUNT VERNON |
State | WA |
Zip Code | 98273-5445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518914811 | Kathleen Mary O'neill | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2006-05-30 |
1033688981 | Ashton Taylor De Cardenas | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273 | 2018-11-21 |
1407218969 | Mari Hammerquist Oathes | Pediatrics | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2016-03-24 |
1487063442 | Brittany Shepherd | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-08-04 |
1033533443 | Public Hospital Dist No 1 Skagit | Dermatology | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-02-06 |
1114340882 | Public Hospital Dist No 1 Skagit | Pharmacy | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-01-30 |
1568801280 | Cheryl Nirmali De Silva | Pediatrics | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2013-06-15 |
1083991202 | Peter John Frey | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2011-11-16 |
1568775922 | Navid Mehraban | Internal Medicine | 2320 Freeway Dr, Mount Vernon, WA 98273 | 2010-07-14 |
1326242801 | Robert M. Lipscomb | Orthopaedic Surgery | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2007-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
Find all providers in zip 98273 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609898295 | Franklin Emergency Medicine Associates Pa | Physician Assistant | 500 S State Highway 37, Mount Vernon, TX 75457 | 2006-07-24 |
1679562136 | Casondra A Banks | Physician Assistant | 1600 Continental Pl, #101, Mount Vernon, WA 98273-5607 | 2005-10-18 |
1912504424 | Laura Vanessa Sanchez | Physician Assistant | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2020-10-07 |
1750997433 | Katie Akane Kaestner | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2020-09-18 |
1295107670 | John David Carlin | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2015-10-26 |
1679979157 | Michael Murray | Physician Assistant | 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6567 | 2014-11-12 |
1215353636 | Kristiana L Brown | Physician Assistant | 10 Woodlake Trl Ste C, Mount Vernon, OH 43050-9573 | 2014-03-10 |
1003066432 | Courtney A. Shick | Physician Assistant | 1311 E. Division Street, Mount Vernon, WA 98274 | 2008-09-22 |
1538345285 | Julie R. Heath | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2008-01-11 |
1831394782 | Julie A Lampley-douglass | Physician Assistant | 4105 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2007-06-20 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 98273 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.