Mary Ellen Walker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

000020165 Issued in WA

Practice address

21405 Monument Rd SW
Vashon, WA 98070-0389

Phone

(206) 463-6300

NPI assigned

Jan 20, 2018

Last updated

Jan 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516406400000",
    "number": "1003324393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980700389",
            "telephone_number": "206-463-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21405 MONUMENT RD SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980700389",
            "telephone_number": "206-463-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-20",
        "last_updated": "2018-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "000020165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vashon Physical Therapy
• Vashon Women's Health Center, LLC
• Vashon Youth and Family Services
• Kristin Wahanik, L.M.P.
• Anna Madeira Waldman
• Thomas Edward Walsten, CDP
• Lynne B Walters, RN, LMP
• Barbara Waterbury, LMHC
• Jessica A. Wesch, MD
• Elizabeth Torbert White, LICSW

• Family Medicine Physician in Vashon, WA
• Providers in Vashon, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.