Individual provider Active NPI

Tod M Walker, PA-C

  • Physician Assistant
  • Mount Vernon, IA
National Provider Identifier
1942485560
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
310 Highway 1 S
Mount Vernon, IA 52314-9501
Phone
(319) 895-9010
NPI assigned
Jan 2, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

310 Highway 1 S
Mount Vernon, IA 52314-9501

Mailing address

PO Box 1824
Cedar Rapids, IA 52406-1824
Phone (319) 369-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20080303000363 IA Practitioner - Physician Assistant 6002990801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians
Mercy Care Management, IncGroup PAC ID 2466343363, 35 clinicians

Practice addresses (Care Compare)

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

2815 Edgewood Rd SW
Mercycare South
Cedar Rapids, IA 52404-3258
Phone (319) 396-9097

310 Hwy 1 SE
Mt Vernon, IA 52314-9501
Phone (319) 895-9010

3701 Katz Dr
Marion, IA 52302-3871
Phone (319) 377-3174

5264 Council St NE
100 Mercycare North
Cedar Rapids, IA 52402-2477
Phone (319) 221-8444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001880IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Care Management, Inc CurrentSince Apr 1, 2011 Accepting new patients
Mercy Physician Associates, Inc CurrentSince Jan 28, 2008 Accepting new patients
Mercy Physician Associates Inc CurrentSince Jan 28, 2008 Accepting new patients
Mercy Physician Associates, Inc Past Accepting new patients

Locations

2815 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 221-8695

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

3701 Katz Dr
Marion, IA 52302
Phone (319) 373-3022

310 Highway 1 S
Mount Vernon, IA 52314
Phone (319) 861-7900

1765 Lininger Ln
Ste 1
North Liberty, IA 52317
Phone (319) 665-3053

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1942485560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524061824",
            "telephone_number": "319-369-4505",
            "fax_number": "319-369-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HIGHWAY 1 S",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523149501",
            "telephone_number": "319-895-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TOD",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IA

Sources for this page

Verify at the official NPI Registry.