Active NPI
Frank Robert Walchak, M.D.
- Plastic Surgery Physician
- Spokane, WA
National Provider Identifier
1982608600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD00015543
- Practice address
- 911 W. 5TH Ave.
Spokane, WA 99204 - Phone
- (509) 455-7844
- Fax
- (509) 623-0415
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD00015543 | WA | Primary |
Addresses
Primary practice location
911 W. 5TH Ave.
Spokane, WA 99204
Mailing address
PO Box 8500 Lockbox 7642
Philadelphia, PA 19178-7642
Phone (813) 281-8115
Other practice location 1
12008 N Waikiki Ct
Ste 206
Spokane, WA 99218-2768
Phone (509) 466-9462
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15540 | Other | WA | LABOR & INDUSTRIES PROVID |
| 1687409 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00015543 | WA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Plastic Surgeons PS | Plastic Surgery | Past | Accepting new patients |
| Edwin Y Chang MD PLLC | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Spokane, WA
- NPI 1154594794
-
- Plastic Surgery Physician
- Spokane, WA
- NPI 1134137599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1982608600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500 LOCKBOX 7642",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191787642",
"telephone_number": "813-281-8115",
"fax_number": "813-281-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W. 5TH AVE.",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99204",
"telephone_number": "509-455-7844",
"fax_number": "509-623-0415"
}
],
"practiceLocations": [
{
"address_1": "12008 N Waikiki Ct",
"address_2": "Ste 206",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992182768",
"country_code": "US",
"telephone_number": "509-466-9462",
"fax_number": "509-484-1277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALCHAK",
"first_name": "FRANK",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WA",
"license": "MD00015543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES PROVID",
"identifier": "15540",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1687409",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.