Active NPI
Marshall D Walker, DO
- Otolaryngology Physician
- Wichita, KS
National Provider Identifier
1154311447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 05-18694
- Practice address
- 707 N Emporia St
Wichita, KS 67214-3707 - Phone
- (316) 858-3470
- Fax
- (316) 858-3458
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 05-18694 | KS | Primary |
Addresses
Primary practice location
707 N Emporia St
Wichita, KS 67214-3707
Mailing address
PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098620E | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pease & Smith, MD,PA | Past | Accepting new patients | |
| Pease & Smith, MD PA | Otolaryngology | Past | Accepting new patients |
| Ascension Via Christi Hospitals Wichita Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
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- Hutchinson, KS
- NPI 1578772786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1154311447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1897",
"city": "WICHITA",
"state": "KS",
"postal_code": "672011897",
"telephone_number": "316-268-8131",
"fax_number": "316-291-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N EMPORIA ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143707",
"telephone_number": "316-858-3470",
"fax_number": "316-858-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MARSHALL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KS",
"license": "05-18694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098620E",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.