NPIMap

Organization Active NPI

Mark Walton, D.O., P.C.

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1083907885
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30145 Issued in CO
Legal business name
MARK WALTON, D.O., P.C.
Doing business as
Mark Walton, D.O., P.C.
Practice address
2141 N Academy Cir
Colorado Springs, CO 80909-1686
Phone
(719) 597-4200
Fax
(719) 597-4495
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mark William Walton, D.O.
Title
Owner/ Physician
Phone
(719) 597-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 30145 CO Primary
Urgent Care Clinic/Center 261QU0200X 30145 CO

Addresses

Primary practice location

2141 N Academy Cir
Colorado Springs, CO 80909-1686

Mailing address

2141 N Academy Cir
Colorado Springs, CO 80909-1686
Phone (719) 597-4200

Other identifiers 1

IdentifierTypeStateIssuer
C1086-2OtherCOMEDICARE NUMBER

Other names 1

  • Mark Walton, D.O., P.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1083907885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091686",
            "telephone_number": "719-597-4200",
            "fax_number": "719-597-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 N ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091686",
            "telephone_number": "719-597-4200",
            "fax_number": "719-597-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WALTON, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "719-597-4200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30145",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CO",
            "license": "30145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "C1086-2",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Walton, D.O., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.