Myranda Dawn Walker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA054986 Issued in PA

Practice address

1086 Franklin St
Johnstown, PA 15905-4305

Phone

(814) 536-7851

Fax

(814) 534-5059

NPI assigned

Aug 4, 2011

Last updated

Oct 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Myranda Dawn Martin Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Somerset Hospital, Somerset, PA, CCN 390039

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myranda.d.walker@upmcdirect.com

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.

• Somerset Health Services Inc

  dba Somerset Family Practice

  • Family Medicine Physician
  • Somerset, PA
  • NPI 1134237407
  Medicare reassignment Care Compare group
• Medical Associates of Boswell

  • Rural Health Clinic/Center
  • Stoystown, PA
  • NPI 1609829670
  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Physician Assistant

  NPD
• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group - Davidsville

  • Rural Health Clinic/Center
  • Hollsopple, PA
  • NPI 1356757710
  NPD
• Somerset Health Services, Inc.

  dba UPMC Somerset Ear, Nose and Throat

  • Otolaryngic Allergy Physician
  • Johnstown, PA
  • NPI 1477196905
  NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Somerset

  • Clinic/Center
  • Somerset, PA
  • NPI 1073692679

  Hospital

  Care Compare affiliation
• Upmc Somerset

  • Psychiatric Hospital Unit
  • Somerset, PA
  • NPI 1558381988
  Care Compare affiliation
• Upmc Somerset

  • General Acute Care Hospital
  • Somerset, PA
  • NPI 1912900168
  Care Compare affiliation

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1285913517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-536-7851",
            "fax_number": "814-534-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-536-7851",
            "fax_number": "814-534-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MYRANDA",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRANDA",
            "last_name": "MARTIN",
            "middle_name": "DAWN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Scott Walker, MA, NCC, MAC, LPC
• John P Walker, D.M.D.
• Kelsey Lyn Walker, DPT, ATC
• Lindsay Walker, PA-C
• Marci Walker
• 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.

• Physician Assistant in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.
• 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.