Walnut Management Corporation

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

3000008098 Issued in PA

Legal business name

WALNUT MANAGEMENT CORPORATION

Doing business as

Walnut Medical Services

Practice address

1075 Franklin St
Johnstown, PA 15905-4303

Phone

(814) 533-0902

Fax

(814) 539-4509

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John A. Kaiser, RRT

Title

Director

Phone

(814) 533-0901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walnut Medical Services Doing business as

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1861527475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011509",
            "telephone_number": "814-533-0901",
            "fax_number": "814-533-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054303",
            "telephone_number": "814-533-0902",
            "fax_number": "814-539-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-533-0901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "3000008098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009718520002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc A Wallace, DO
• Pamela E Wallace, B.S.W., M.ED.
• Wayne Bradley Wallace, D.C.
• Walnut Management Corp (Walnut Medical Services)
• Walnut Management Corp (Walnut Medical Services)
• Heidi Lynn Walter, D.C.
• Shannon Renee Walylko, PHARMD
• Zhuo Wang, M.D.
• Peter A Wannett
• Kelly Wantiez, RN

• Oxygen Equipment & Supplies (DME) in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.