Active NPI
Matthew Walton, D.O.
- Family Medicine Physician
- Spanish Fork, UT
National Provider Identifier
1497905566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5234046-1204
- Practice address
- 336 W 100 S
Spanish Fork, UT 84660-5881 - Phone
- (801) 798-7301
- Fax
- (801) 798-8513
- NPI assigned
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15463 | ND | |
| Family Medicine Physician | 207Q00000X | 2018043154 | MO | |
| Family Medicine Physician | 207Q00000X | 311397 | LA | |
| Family Medicine Physician | 207Q00000X | R9884 | TX | |
| Family Medicine Physician | 207Q00000X | E-11862 | AR | |
| Family Medicine Physician | 207Q00000X | 5234046-1204 | UT | Primary |
| Family Medicine Physician | 207Q00000X | 6563 | OK | |
| Family Medicine Physician | 207Q00000X | 20A16954 | CA |
Addresses
Primary practice location
336 W 100 S
Spanish Fork, UT 84660-5881
Mailing address
336 W 100 S
Spanish Fork, UT 84660-5881
Phone (801) 798-7301
Other practice location 1
1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (415) 504-3838 ext. 9238
Other practice location 2
15 W South Temple Ste 600
Salt Lake City, UT 84101-1536
Phone (415) 504-3838 ext. 9238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6563 | OK | MD | Dentist |
| E-11862 | AR | MD | Family Medicine Physician |
| 20A16954 | CA | MD | Family Medicine Physician |
| 311397 | LA | MD | Family Medicine Physician |
| 2018043154 | MO | MD | Family Medicine Physician |
| 15463 | ND | MD | Family Medicine Physician |
| R9884 | TX | MD | Family Medicine Physician |
| 5234046-1204 | UT | MD | Family Medicine Physician |
Interoperability endpoints
- matthew.walton.1@30520.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1497905566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 W 100 S",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846605881",
"telephone_number": "801-798-7301",
"fax_number": "801-798-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W 100 S",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846605881",
"telephone_number": "801-798-7301",
"fax_number": "801-798-8513"
}
],
"practiceLocations": [
{
"address_1": "1 California St Ste 2300",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941115424",
"country_code": "US",
"telephone_number": "415-504-3838 x9238",
"fax_number": "415-504-1367",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 W South Temple Ste 600",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841011536",
"country_code": "US",
"telephone_number": "415-504-3838 x9238",
"fax_number": "415-504-1367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTON",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "15463",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2018043154",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "311397",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R9884",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-11862",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "5234046-1204",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "6563",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A16954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.