JOHN A WALSH MD PA
NPI 1275589152
Specialist in Palm Coast, FL

Active since May 25, 2006
14 OFFICE PARK DR STE 7, PALM COAST, FL 32137(386) 302-5064(386) 302-5093 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John A Walsh Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN A WALSH MD PA (NPI 1275589152) is a healthcare organization registered as a specialist in Palm Coast, Florida and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Palatka and lists John Alan Walsh, President, as its authorized official.

NPPES Registry Identity

NPI1275589152
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOHN A WALSH MD PA
Location Address14 OFFICE PARK DR STE 7Palm Coast, FL 32137-3830
Mailing AddressPo Box 17021Belfast, ME 04915-4065 · (386) 302-5064 · Fax (386) 302-5093
Fax(386) 302-5093
Organization SubpartNo
Authorized OfficialJohn Alan WalshPresident · (386) 328-0245
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
NPI 1275589152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME78805
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14 OFFICE PARK DR STE 7, Palm Coast, FL 32137

Secondary Practice Location 1

Location 1530 Zeagler Dr, Suite APalatka, FL 32177-6855 · Phone (386) 328-0245 · Fax (386) 328-8510

Other Identifiers 2

OtherQ0466FL · Medicare
Medicaid110996800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
14 OFFICE PARK DR STE 7
PALM COAST, FL 32137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John A Walsh MD PA's NPI number?

The NPI number for John A Walsh MD PA is 1275589152. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is John A Walsh MD PA located?

John A Walsh MD PA is located at 14 Office Park Dr Ste 7, Palm Coast, FL 32137. The listed phone number is (386) 302-5064.

What is John A Walsh MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John A Walsh MD PA was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.