Active NPI
Valerie A Walk, PA
- Surgical Physician Assistant
- Ft Myers, FL
National Provider Identifier
1083604383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9102475
- Practice address
- 2531 Cleveland Ave
Suite 1
Ft Myers, FL 33901-4900 - Phone
- (239) 334-7000
- Fax
- (239) 334-7070
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9102475 | FL | Primary |
Addresses
Primary practice location
2531 Cleveland Ave
Suite 1
Ft Myers, FL 33901-4900
Mailing address
2531 Cleveland Ave
Suite 1
Ft Myers, FL 33901-4900
Phone (239) 334-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9102475 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of SW Florida, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fort Myers, FL
- NPI 1770410433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1083604383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2531 CLEVELAND AVE",
"address_2": "SUITE 1",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339014900",
"telephone_number": "239-334-7000",
"fax_number": "239-334-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 CLEVELAND AVE",
"address_2": "SUITE 1",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339014900",
"telephone_number": "239-334-7000",
"fax_number": "239-334-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALK",
"first_name": "VALERIE",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9102475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA9102475",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.