Organization Active NPI

Frederick W. Walker, M.D., P.a.

  • Medical Specialty Clinic/Center
  • Forest Hill, MD
National Provider Identifier
1053403170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DOO20463 Issued in MD
Legal business name
FREDERICK W. WALKER, M.D., P.A.
Practice address
2005 Rock Spring Rd
Forest Hill, MD 21050-2621
Phone
(410) 836-0909
Fax
(410) 893-2325
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frederick William Walker, M.D.
Title
President
Phone
(410) 836-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DOO20463 MD Primary

Addresses

Primary practice location

2005 Rock Spring Rd
Forest Hill, MD 21050-2621

Mailing address

2005 Rock Spring Rd
Forest Hill, MD 21050-2621
Phone (410) 836-0909

National Provider Directory

National Provider Directory

Locations

2005 Rock Spring Rd
Ste 5
Forest Hill, MD 21050
Phone (410) 836-0909

2005 Rock Spring Rd
Forest Hill, MD 21050
Phone (301) 486-7387

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053403170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ROCK SPRING RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502621",
            "telephone_number": "410-836-0909",
            "fax_number": "410-893-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ROCK SPRING RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502621",
            "telephone_number": "410-836-0909",
            "fax_number": "410-893-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK W. WALKER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-836-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "DOO20463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.