Individual provider Active NPI

Gary David Walker, M.D.

  • Surgery Physician
  • Abilene, TX
National Provider Identifier
1174597975
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
F4642 Issued in TX
Practice address
1100 N 19TH St
Suite 4D
Abilene, TX 79601-2304
Phone
(325) 676-8555
Fax
(325) 676-1026
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X F4642 TX Primary

Addresses

Primary practice location

1100 N 19TH St
Suite 4D
Abilene, TX 79601-2304

Mailing address

1100 N 19TH St
Suite 4D
Abilene, TX 79601-2344
Phone (325) 676-8555

Other identifiers 1

IdentifierTypeStateIssuer
0894800 02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100405000540 TX Practitioner - General Surgery 9638205313 Practice locations: Abilene, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F4642TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn S Norton MD PLLC Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1174597975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N 19TH ST",
            "address_2": "SUITE 4D",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012344",
            "telephone_number": "325-676-8555",
            "fax_number": "325-676-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 19TH ST",
            "address_2": "SUITE 4D",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012304",
            "telephone_number": "325-676-8555",
            "fax_number": "325-676-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F4642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894800 02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.