PATRICK ROGER WALTER (NPI# 1679891907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679891907 |
| Entity Type | Individual |
| Full Name | PATRICK ROGER WALTER |
| Credential | PA |
| Practice Address |
904 5th Ave Ne Jamestown ND 58401-3437 |
| Mailing Address |
8171 31st St Se Unit 6 Jamestown ND 58401-9258 |
| Practice Telephone | 7012534020 |
| Practice Fax Number | 7012534040 |
| Mailing Telephone | 7012527067 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 71138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750693610 | Patrick Joseph Walter | Chiropractor | 39355 California St Ste 106, Fremont, CA 94538-1447 | 2010-07-08 |
| 1508985995 | Patrick B Walter | Physical Therapist | 2904 Calumet Ave, Valparaiso, IN 46383-2639 | 2007-03-28 |
| 1124534532 | Patrick J. Walter | Pharmacy | 11333 Aurora Ave, Urbandale, IA 50322-7908 | 2017-12-20 |
| Street Address |
904 5TH AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568449114 | Debra A Geier | Internal Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2005-12-26 |
| 1437693009 | Mollie Merriam | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2016-12-15 |
| 1083021059 | Brittany Gannarelli | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2014-07-22 |
| 1275973091 | Justin Jackson Rosenau | Family Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2013-06-25 |
| 1144568767 | Amanda S Wiles | Nurse Practitioner | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2013-01-17 |
| 1124308465 | Sanford Medical Center Fargo | Surgery | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-08-18 |
| 1962797902 | Wendy L Hager | Dietary Manager | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-06-17 |
| 1447564729 | Erin A Nieland | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-07-29 |
| 1194045963 | Leann Marie Cimbura | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-06-03 |
| 1891019626 | Gary A Matthys Md Plc | Orthopaedic Surgery | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134162043 | Kirsten Bishop | Physician Assistant | 117 Foote Ave, Jamestown, NY 14701-6947 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783972 | Austin Fridrich | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-06-02 |
| 1477053411 | Sara Amys | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2018-02-16 |
| 1629423371 | Carly Schlosser | Physician Assistant | 300 N 7th St, Bismarck, ND 58501-4439 | 2016-05-02 |
| 1902262595 | Evelyne S Akoth | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2016-01-12 |
| 1508274408 | Daniel Deutsch | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2014-07-24 |
| 1164859831 | Kristen Schaff | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2013-09-26 |
| 1609213529 | Kathryn B Fuss | Physician Assistant | 801 Broadway N, Fargo, ND 58102-3641 | 2013-06-01 |
| 1154675577 | Shane M Meyer | Physician Assistant | 1720 University Dr S, Fargo, ND 58103-4940 | 2012-11-07 |
| 1801104039 | Nicole Frank | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4515 | 2010-09-22 |
| 1538250246 | Kenneth Kessler | Physician Assistant | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-27 |
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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.