NPIMap

Individual provider Active NPI

Jamey Lynn Walker, M.D.

  • Family Medicine Physician
  • Woodburn, OR
National Provider Identifier
1114239936
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD171495 Issued in OR
Practice address
1475 Mt. Hood Ave
Woodburn, OR 97071
Phone
(971) 983-5200
NPI assigned
Jul 9, 2010
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD171495 OR Primary
Emergency Medicine Physician 207P00000X 4301096914 MI

Addresses

Primary practice location

1475 Mt. Hood Ave
Woodburn, OR 97071

Mailing address

1475 Mt. Hood Ave
Woodburn, OR 97071
Phone (971) 983-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922002212 OR Practitioner - Family Practice 7618105081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (503) 982-2174

1475 Mount Hood Ave
Woodburn, OR 97071-9263

1475 Mount Hood Ave
Suite 140
Woodburn, OR 97071-9199
Phone (503) 873-8853

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301096914MIMDEmergency Medicine Physician
MD171495ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Current Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Jul 1, 2015 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Silverton Health Family Medicine Past Accepting new patients

Locations

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

1390 Meridian Dr
Woodburn, OR 97071
Phone (503) 982-0403

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

1475 Mount Hood Ave
Ste 120
Woodburn, OR 97071
Phone (503) 982-2174

Interoperability endpoints

  • Direct secure messaging: jwalker134577@direct.lhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1114239936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 MT. HOOD AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "971-983-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MT. HOOD AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "971-983-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JAMEY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD171495",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301096914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.