NPIMap

Individual provider Active NPI

Walter Payne Jr.

  • Podiatrist
  • Louisville, KY
National Provider Identifier
1447815832
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TS61476595 Issued in WA
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone
(502) 897-1616
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X TS61476595 WA Primary
General Acute Care Hospital 282N00000X KY

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-2877

Mailing address

616 N Chelan Ave
Wenatchee, WA 98801-2025
Phone (509) 662-2970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019003377 WA Practitioner - Podiatry 0648651349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

15214 Canyon Rd E
Suite 100
Puyallup, WA 98375-7472
Phone (253) 539-4200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue25
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5819CAMDAddiction (Substance Use Disorder) Counselor
TS61476595WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Single Specialty CurrentSince Oct 8, 2024 Accepting new patients
Franciscan Medical Group Single Specialty CurrentSince Oct 8, 2024 Accepting new patients
Chelan County Public Hospital District No 2 Single Specialty CurrentSince Nov 15, 2023 Accepting new patients
Foot & Ankle Center of Wenatchee, P.S. CurrentSince Dec 1, 2023 Accepting new patients
Chelan County Public Hospital District No 2 Single Specialty Current Accepting new patients
Chelan County Public Hospital Dist No 2 Single Specialty CurrentSince Nov 15, 2023 Accepting new patients
Foot & Ankle Center of Wenatchee, P.S. Single Specialty CurrentSince Dec 1, 2023 Accepting new patients
Bass Medical Group Single Specialty Past Accepting new patients
Bass Medical Group Single Specialty Past Accepting new patients
Franciscan Medical Group Podiatrist Past Accepting new patients

Locations

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

15214 Canyon Rd E
Ste 100
Puyallup, WA 98375
Phone (253) 539-4200

11311 Bridgeport Way SW
Ste 100
Tacoma, WA 98499
Phone (253) 581-6688

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

616 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 662-2970

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1447815832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012025",
            "telephone_number": "509-662-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-897-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "TS61476595",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.