Walker Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WALKER SURGICAL CENTER LLC

Practice address

3300 Walker VW NW
Walker, MI 49544-9139

Phone

(616) 588-6570

Fax

(616) 647-9119

NPI assigned

Feb 6, 2007

Last updated

Jan 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Lynn Patrick

Title

Manager

Phone

(616) 588-6593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Walker Surgical Center LLCCCN 23C0001080

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Foot & Ankle Specialists of West Michigan P L L C

  • Durable Medical Equipment & Medical Supplies
  • Rockford, MI
  • NPI 1790983898

  Member Of

  NPD member

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cristian Ricardo Craciun Brutten, DDS

  • Pediatric Dentistry
  • Wyoming, MI
  • NPI 1689802613
  NPD
• Marcus Salim Muallem, MD

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1194927335
  NPD
• Emily Tomaselli, D.O.

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1790167039
  NPD
• Gerard M Choryan, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1629072301
  NPD (past)
• Thomas P Cowden, M.D.

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1346245313
  NPD (past)
• Lewis Dekuiper, OD

  • Optometrist
  • Grand Rapids, MI
  • NPI 1942271572
  NPD (past)
• David Michael Den Braber, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1336143825
  NPD (past)
• Monica Anne Fenton, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1427052919
  NPD (past)
• Rachel Gates, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1174526479
  NPD (past)
• Yosef Gindzin, M.D.

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1477557973
  NPD (past)
• Autumn Rae Nunn Killop, OD, MPH

  • Optometrist
  • Grand Rapids, MI
  • NPI 1164098893
  NPD (past)
• Jae Yong Kim, MD

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1497287635
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1679612253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "616-588-6593",
            "fax_number": "616-383-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WALKER VW NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495449139",
            "telephone_number": "616-588-6570",
            "fax_number": "616-647-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-588-6593"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Venlet, PA-C
• Rebecca Voigt
• Ruth Wagner
• Walgreen Co (Walgreens #10351)
• Walgreen Co (Walgreens #12777)
• Diana Lee Walton
• West Michigan Family Medicine PC
• West Michigan Heart
• Grace Willson
• Sara Marie Wilson

• Ambulatory Surgical Clinic/Center in Walker, MI
• Providers in Walker, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.