Active NPI
Christopher R Walsh, PA-C
- Physician Assistant
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004639
- Practice address
- 209 Martin Luther King Jr Way
Tacoma, WA 98405-4265 - Phone
- (253) 596-3300
- NPI assigned
- Jun 6, 2006
- Last updated
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004639 | WA | Primary |
Addresses
Primary practice location
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Mailing address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10452 Silverdale Way NW
Silverdale, WA 98383-9411
Phone (360) 307-7300
9505 S Steele St
Tacoma, WA 98444-1858
Phone (253) 597-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630 | OK | MD | Speech-Language Pathologist |
| PA10004639 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Neighborcare Health | Past | Accepting new patients | |
| Neighborcare Health | Past | Accepting new patients |
Locations
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101
1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058
12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326
1629 N 45th St
Seattle, WA 98103
Phone (206) 548-2964
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950
9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- cwalsh3851781@ghc.direct-ci.net
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
dba Nep
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
-
dba Lopez Island Medical Clinic
- Rural Health Clinic/Center
- Lopez, WA
- NPI 1740203967
-
dba Wound Healing Care Specialists Washington
- Surgery Physician
- Seattle, WA
- NPI 1952280273
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
dba Neighborcare Health at Rainier Beach
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
-
dba Neighborcare Health at 45th Street
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1285664227
-
- Rural Health Clinic/Center
- Eastsound, WA
- NPI 1245827781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1003855750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-596-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-596-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004639",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "209 Martin Luther King Jr Way",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.