MR. LUKE M WALTERS


Address: 2320 Freeway Dr, Mount Vernon, WA 98273-5445
Phone: 3608146810

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2320 FREEWAY DR
City MOUNT VERNON
State WA
Zip Code 98273-5445

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MOUNT VERNON
Zip Code 98273

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Dataset Information

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.

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