Robert J Walkowski, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9156 Issued in MN

Practice address

7373 France Ave S
202 Centennial Lakes Medical Center
Edina, MN 55435-4534

Phone

(952) 985-8100

Fax

(952) 985-8199

NPI assigned

Aug 15, 2005

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment
• Allina Health System

  dba Allina Health Shakopee Clinic

  • Clinic/Center
  • Shakopee, MN
  • NPI 1477859486
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1144222548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD",
            "address_2": "SUITE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554393120",
            "telephone_number": "952-985-8911",
            "fax_number": "952-985-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "address_2": "202 CENTENNIAL LAKES MEDICAL CENTER",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "952-985-8100",
            "fax_number": "952-985-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKOWSKI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "9156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069319700",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwalkowski104987@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "7373 France Ave S",
            "address_2": "202 Centennial Lakes Medical Center",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554354534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Louise Walker, CMT
• Justin Andrew Walker, MD
• Lori Walker, LMFT
• Robert Norman Walker, M.D.
• Maya M Walkington-Stauber, GNP
• Melanie Waller, LICSW
• Elizabeth Wallis, PA-C
• Laurie Kathryn Walsh, R.N., C.N.P.
• Sabrina Marie Walski-Easton, M.D.
• Erica Anne Walters, CRNA

• Medical Physician Assistant in Edina, MN
• Providers in Edina, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.