Ethan Chandler Walker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5300 S Sutter Dr Ste 1
Show Low, AZ 85901-8055

Phone

(928) 532-7546

NPI assigned

Jun 9, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1750215539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 S BRISTLECONE DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859019802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018055",
            "telephone_number": "928-532-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ETHAN",
        "middle_name": "CHANDLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W. Thomas Coombe, MD , a Medical Corporation
• Luke Wahlstrom, PT, DPT
• Jessica Walczak, OTR/L
• William J Waldo, MD
• Walgreen Co
• Ladawna Rae Wallace, FNP
• Maureen Mary Wallace, PA-C
• Walmart Inc.
• Walmart Stores, Inc.
• Camille Wasiak, RPH

• Physician Assistant in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.

Verify at the official NPI Registry.