Ralph Gerald Walton, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

101395 Issued in NY

Practice address

95 East Chautauqua Street
Mayville, NY 14757-0168

Phone

(716) 753-7107

Fax

(716) 753-5367

NPI assigned

Nov 23, 2005

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northwest Beacon Group LLC

  dba Center for Personal and Family Growth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Erie, PA
  • NPI 1689695868
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1952384844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 EAST CHAUTAUQUA STREET",
            "address_2": "PO BOX 168",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147570168",
            "telephone_number": "716-753-7107",
            "fax_number": "716-753-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 EAST CHAUTAUQUA STREET",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147570168",
            "telephone_number": "716-753-7107",
            "fax_number": "716-753-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "RALPH",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD425467",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "101395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "131177-000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00596016",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007940410005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "028625",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK KHPW",
            "identifier": "00105497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PAR W/ PREMIER",
            "identifier": "105497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A Thomas, LPN
• Connie Jo Tonger, NP
• Sarah Ann Uebelhoer, PA-C
• Denise A Valvo, LMSW
• Rochelle Von Hof, PH.D
• Megan Lynn Wright, COTA
• Jacqueline Dannette Zentz, RN

• Psychiatry Physician in Mayville, NY
• Providers in Mayville, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.