Individual provider Active NPI

Patrick J Walton, PA-C

  • Physician Assistant
  • Fort Smith, AR
National Provider Identifier
1609952696
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
P-T0619 Issued in AR
Practice address
3501 W E Knight Drive
Suite a
Fort Smith, AR 72903-1230
Phone
(479) 709-7000
Fax
(479) 709-7030
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 P-T0619 AR Primary

Addresses

Primary practice location

3501 W E Knight Drive
Suite a
Fort Smith, AR 72903-1230

Mailing address

PO Box 11230
Fort Smith, AR 72917-1230
Phone (479) 709-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20081115000003 AR Practitioner - Physician Assistant 5991809576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P-T0619ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 1, 2011 Accepting new patients
Mercy Clinic Fort Smith Communities Physician Assistant CurrentSince Feb 1, 2011 Accepting new patients

Locations

3501 We Knight Dr
Ste A
Fort Smith, AR 72903

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

Interoperability endpoints

  • Direct secure messaging: pwalton199521@directc.mercy.net
  • Direct secure messaging: pwalton190064@directb.mercy.net

Organizations & group practices 3

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 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609952696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11230",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171230",
            "telephone_number": "479-709-7000",
            "fax_number": "479-709-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W E KNIGHT DRIVE",
            "address_2": "SUITE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729031230",
            "telephone_number": "479-709-7000",
            "fax_number": "479-709-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "P-T0619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.