MARK WALTHER PA-C NPI 1699750919

NPI Information

  • NPI: 1699750919
  • Provider Name: MARK WALTHER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 209 MARTIN LUTHER KING JR WAY
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 596-3300

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NPI Details

Mark Walther, PA-C is a surgical physician assistant in Tacoma, WA with 24 years of experience. Mark Walther, PA-C NPI is 1699750919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

209 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405-265
Phone: (253) 596-3300

The NPI 1699750919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 12/9/2005 and was last updated on 5/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA60668947WASHINGTONNo
2363AS0400XPhysician AssistantSurgicalPA60668947WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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