Individual provider Active NPI

Philomena Walker, PA

  • Physician Assistant
  • The Villages, FL
National Provider Identifier
1275636128
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2083 Issued in FL
Practice address
1950 Laurel Manor Dr Ste 224
The Villages, FL 32162-5602
Phone
(352) 751-6565
Fax
(352) 205-7777
NPI assigned
Sep 6, 2006
Last updated
Dec 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2083 FL Primary

Addresses

Primary practice location

1950 Laurel Manor Dr Ste 224
The Villages, FL 32162-5602

Mailing address

1950 Laurel Manor Dr
Ste 224
The Villages, FL 32162
Phone (352) 751-6565

Other identifiers 1

IdentifierTypeStateIssuer
290180300MedicaidFL

Other names 1

  • Philomena Singh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Tara Dr
Colusa, CA 95932-3256

4300 El Camino Real
Suite 100
Los Altos, CA 94022-1090

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jill E. Stocker, D.O. PC PastSince May 22, 2010 Accepting new patients
Suncoast Skin Solutions PastSince Oct 14, 2019 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jan 1, 1990 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jan 1, 1990 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jan 1, 1990 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1275636128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "STE 224",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32162",
            "telephone_number": "352-751-6565",
            "fax_number": "352-205-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR STE 224",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625602",
            "telephone_number": "352-751-6565",
            "fax_number": "352-205-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PHILOMENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290180300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILOMENA",
            "last_name": "SINGH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.