DR. PATRICK RYAN WALSH (NPI# 1467866467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467866467 |
| Entity Type | Individual |
| Full Name | DR. PATRICK RYAN WALSH |
| Credential | MD |
| Practice Address |
4440 S Washington St - Altru Professional Center Grand Forks ND 58201-7245 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 7017327700 |
| Mailing Telephone | 7017801891 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 11018282A | IN | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
15932 | ND | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
01080600A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1919 Lake Ave Ste 111, Plymouth, IN 465637830 | 5743356214 | 5743356215 |
| 611 E Douglas Rd Ste 401, Mishawaka, IN 465451468 | 5743356500 | 5743350771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437524386 | Patrick Walsh | Registered Nurse | 5175 Kendall Dr, Burton, MI 48509-1910 | 2015-12-03 |
| 1407245061 | Patrick Walsh | Pediatrics | 3333 Burnet Ave # 2008, Cincinnati, OH 45229 | 2015-01-20 |
| 1467791079 | Patrick Walsh | Chiropractor | 13018 Pennsylvania Ave, Ste 5, Hagerstown, MD 21742-2759 | 2013-02-04 |
| 1952647414 | Patrick Boucher Walsh | Social Worker | 31 Washington Sq W Ste 3r-a, New York, NY 10011-9126 | 2013-01-02 |
| 1700914827 | Patrick J. Walsh | Dentist | 105 Memorial Dr, Schwenksville, PA 19473-1762 | 2007-03-01 |
| 1508993437 | Patrick James Walsh | Chiropractor | 6020 Commerce Blvd, Suite 128, Rohnert Park, CA 94928-2179 | 2007-02-27 |
| 1962566380 | Patrick Joseph Walsh | Respiratory Therapist, Registered | 15243 Vanowen St., Suite #411, Van Nuys, CA 91405-3661 | 2006-12-20 |
| 1053386896 | Patrick M Walsh | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-22 |
| 1366079980 | Patrick Walsh | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2020-03-24 |
| 1780148049 | Patrick Walsh | Physician Assistant | 506 6th St, Brooklyn, NY 11215-3609 | 2019-01-30 |
| Street Address |
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-7245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255360244 | Krishna C. Gurram | Internal Medicine | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201-7245 | 2006-07-02 |
| 1164804993 | Bethany Ann Knox | Physician Assistant | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2015-06-29 |
| 1730560319 | Daniel Hesse | Orthopaedic Surgery | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2015-06-09 |
| 1518212893 | Landon James Karren | Ophthalmology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201-7245 | 2012-07-23 |
| 1225390875 | Diane M Voeller | Family Medicine | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2012-06-11 |
| 1750693784 | David Paul Sundberg | Nurse Practitioner | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2010-07-07 |
| 1619290590 | Wade Alexander Olson | Nurse Practitioner | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2010-03-08 |
| 1497982169 | Jennifer Lea Hodny | Physician Assistant | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2009-06-19 |
| 1881886497 | Jeremy John Gardner | Orthopaedic Surgery | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2007-08-16 |
| 1063619237 | Adam Foster Nicholson | Urology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708530 | Devlin Ann Wiest | Family Medicine | 6000 College Ln, Jamestown, ND 58405-0001 | 2020-04-03 |
| 1043676414 | Jason Sharp | Family Medicine | 2301 25th St S, Fargo, ND 58103-6104 | 2016-01-14 |
| 1962590661 | Dawn D Mattern | Family Medicine | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2006-10-10 |
| 1083632673 | Daniel K Ostlie | Family Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-18 |
| 1710904487 | Jeffrey K Lystad | Family Medicine | 2301 25th St S, Fargo, ND 58103-6104 | 2006-07-17 |
| 1467412528 | Scott H Grindel | Family Medicine | 2301 25th St S, Fargo, ND 58103-6104 | 2006-03-24 |
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.