Walnut Management Corp

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1000002361 Issued in PA

Legal business name

WALNUT MANAGEMENT CORP

Practice address

226 Main St.
Johnstown, PA 15901-1509

Phone

(814) 533-0901

Fax

(814) 533-0196

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi Rene Clark

Title

Ceo

Phone

(814) 533-0901

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Walnut Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Walnut Management Corp

  • Oxygen Equipment & Supplies (DME)
  • Bedford, PA
  • NPI 1598832008

  6305748856

  Same PAC ID
• Walnut Management Corp

  • Oxygen Equipment & Supplies (DME)
  • Johnstown, PA
  • NPI 1699817338

  6305748856

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Walnut Medical Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Walnut Management Corp

  • Oxygen Equipment & Supplies (DME)
  • Bedford, PA
  • NPI 1598832008
  NPD tax ID
• Walnut Management Corp

  • Oxygen Equipment & Supplies (DME)
  • Johnstown, PA
  • NPI 1699817338
  NPD tax ID

Locations

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1164524435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011509",
            "telephone_number": "814-533-0901",
            "fax_number": "814-533-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST.",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011509",
            "telephone_number": "814-533-0901",
            "fax_number": "814-533-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-533-0901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "80000000542",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "1000002361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009718520002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Edward Walkowski, M.D.
• Rod Alan Wall, M.D.
• Marc A Wallace, DO
• Pamela E Wallace, B.S.W., M.ED.
• Wayne Bradley Wallace, D.C.
• Walnut Management Corp
• Walnut Management Corporation
• Heidi Lynn Walter, D.C.
• Shannon Renee Walylko, PHARMD
• Zhuo Wang, M.D.

• Oxygen Equipment & Supplies (DME) in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.