David E Walker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

037987 Issued in CT

Practice address

250 Flat Rock PL
2ND FL
Westbrook, CT 06498-1565

Phone

(860) 358-3640

Fax

(860) 358-8656

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Conncare Inc

  • Internal Medicine Physician
  • Colchester, CT
  • NPI 1700962040

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1053385310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4820",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FLAT ROCK PL",
            "address_2": "2ND FL",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064981565",
            "telephone_number": "860-358-3640",
            "fax_number": "860-358-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "037987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001379876",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Town of Westbrook
• Vinod V Pathy MD LLC
• Emma Jane Voytek, M.S., CCC-SLP
• Bonnie Jeanne Wagmeister, RN
• Walgreen Co
• Caroline Anna Wallace
• Westbrook Ambulance Association, Inc
• Westbrook Chemical Engine Company 1
• Westbrook Dental, LLC
• Westbrook Public Schools

• Family Medicine Physician in Westbrook, CT
• Providers in Westbrook, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.