Active NPI
Ernest Walker, PA-C
- Medical Physician Assistant
- Charlevoix, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601008412
- Practice address
- 14700 Lake Shore Dr
Charlevoix, MI 49720-1931 - Phone
- (231) 547-8507
- Fax
- (801) 740-2847
- NPI assigned
- Oct 8, 2015
- Last updated
- Mar 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1568 | ME | |
| Medical Physician Assistant | 363AM0700X | 5601008412 | MI | Primary |
Addresses
Primary practice location
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Mailing address
PO Box 270
South Freeport, ME 04078-0270
Phone (207) 725-9065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1568 | ME | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houlton Regional Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Midcoast Hospital | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Down East Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics Inc | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Machias, ME
- NPI 1689670242
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Emergency Medicine Physician
- Cadillac, MI
- NPI 1447932504
-
- Emergency Medicine Physician
- Charlevoix, MI
- NPI 1073295135
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1336821495
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1073597944
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
-
- Critical Access Hospital
- Houlton, ME
- NPI 1386804268
-
dba Aspirus Ironwood Clinic
- Rural Health Clinic/Center
- Ironwood, MI
- NPI 1801210695
-
dba Aspirus Palliative Medicine - Michigan
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1750752317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "SOUTH FREEPORT",
"state": "ME",
"postal_code": "040780270",
"telephone_number": "207-725-9065",
"fax_number": "207-725-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 LAKE SHORE DR",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201931",
"telephone_number": "231-547-8507",
"fax_number": "801-740-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ERNEST",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-08",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ME",
"license": "PA1568",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601008412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlevoix, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.