Timothy Ellis Walker, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11843 Issued in AZ

Practice address

6116 E Arbor Ave
Building 2 Suite 106
Mesa, AZ 85206-6107

Phone

(480) 926-3353

Fax

(480) 926-3362

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

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.

• Timothy E Walker MDPC

  • Specialist
  • Mesa, AZ
  • NPI 1588685432
  NPD (past) Authorized official

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1114999562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "address_2": "BUILDING 2 SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-926-3353",
            "fax_number": "480-926-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "address_2": "BUILDING 2 SUITE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-926-3353",
            "fax_number": "480-926-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TIMOTHY",
        "middle_name": "ELLIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "11843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS ID",
            "identifier": "249864",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Walker, MD
• Renee Kathleen Walker, LPC
• Robert Scott Walker, P.T.
• Sheri Dee Walker
• Stephen L. Walker, DDS, MS
• Brandon Wall
• Matthew Ryan Wall, D.D.S.
• Wallace Chiropractic, PC
• Kristine Wallace, N.D.
• Peggy Ann Wallace, LPN

• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.