Lauren Kelly Walsh

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016912-1 Issued in NY

Practice address

Stony Brook University Dept of Orthopedics
HSC T18, Room 080
Stony Brook, NY 11794-8181

Phone

(631) 444-1310

NPI assigned

Dec 11, 2013

Sex

Female

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lauren.walsh@direct.stonybrookmedicine.edu

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.

• Stony Brook Orthopaedic Associates, University Faculty Practice Corpor

  • Orthopaedic Surgery Physician
  • Stony Brook, NY
  • NPI 1154377638
  Medicare reassignment
• University Associates in Obstetrics & Gynecology, University Faculty P

  • Obstetrics & Gynecology Physician
  • Stony Brook, NY
  • NPI 1538114723
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1841621265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY DEPT OF ORTHOPEDICS",
            "address_2": "HSC T18, ROOM 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY DEPT OF ORTHOPEDICS",
            "address_2": "HSC T18, ROOM 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948181",
            "telephone_number": "631-444-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LAUREN",
        "middle_name": "KELLY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016912-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Hayden Wallace
• Kerry Walsh-Gallagher, N.P.
• Kathleen Ellen Walsh-Spoonhower, M.D.
• Bridget Walsh, NP
• Carol Lee Walsh, PT
• Pamela Jane Walsh, RN
• Peter K Walsh, PT
• Gregory Walton
• Frozan Walyzada, M.D.
• Christie Elizabeth Wanderer, NP

• Physician Assistant in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.