BLYTHE D WALTERSDORF P.A.
NPI 1669468385
Physician Assistant in Creston, IA

Active since September 27, 2005
1610 W TOWNLINE ST, SUITE 1, CRESTON, IA 50801(641) 782-2131(641) 782-6425 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blythe D Waltersdorf P.a. NPPES

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

BLYTHE D WALTERSDORF P.A. (NPI 1669468385) is an individual physician assistant in Creston, Iowa, licensed in Iowa (001293) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1669468385
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLYTHE D WALTERSDORFCredential: P.A.
Location Address1610 W TOWNLINE ST, SUITE 1Creston, IA 50801-1066
Mailing Address1610 W Townline St, Suite 1Creston, IA 50801-1066 · (641) 782-2131 · Fax (641) 782-6425
Fax(641) 782-6425
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 1, 2011
NPI 1669468385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IA · 001293
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1610 W TOWNLINE ST, Creston, IA 50801

Other Identifiers 2

Medicare ID-Type UnspecifiedI1331
Medicare UPINP24593IA

Other Providers at the Same Location NPPES 20

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

Family Medicine
1610 W TOWNLINE ST, SUITE 200
CRESTON, IA 50801
Nurse Practitioner (Family)
1610 W TOWNLINE ST
CRESTON, IA 50801
Obstetrics & Gynecology
1610 W TOWNLINE ST
CRESTON, IA 50801
Nurse Anesthetist, Certified Registered
1610 W TOWNLINE ST, SUITE 200
CRESTON, IA 50801
Surgery
1610 W TOWNLINE ST
CRESTON, IA 50801
Nurse Practitioner
1610 W TOWNLINE ST
CRESTON, IA 50801
Family Medicine
1610 W TOWNLINE ST, SUITE 100
CRESTON, IA 50801
Family Medicine
1610 W TOWNLINE ST, SUITE 200
CRESTON, IA 50801

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 Blythe Waltersdorf's NPI number?

The NPI number for Blythe Waltersdorf is 1669468385. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Blythe Waltersdorf located?

Blythe Waltersdorf practices at 1610 W Townline St Suite 1, Creston, IA 50801. The listed phone number is (641) 782-2131.

What is Blythe Waltersdorf's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Blythe Waltersdorf was last updated on July 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.