Walker Family Medicine PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3240 Issued in AZ

Legal business name

WALKER FAMILY MEDICINE PLC

Practice address

801 W Rex Allen Dr
Willcox, AZ 85643-1136

Phone

(520) 766-5000

Fax

(520) 766-5001

NPI assigned

Dec 5, 2007

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Joe Walker Jr.

Title

Office Manager

Phone

(520) 240-2306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Walker Family Medicine PLC

  • Family Medicine Physician
  • Portal, AZ
  • NPI 1962775296

  O20080222000388

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Walker Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Walker Family Medicine PLC

  • Family Medicine Physician
  • Portal, AZ
  • NPI 1962775296
  NPD tax ID

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Dawn Bennett, FNP-C

  • Family Nurse Practitioner
  • Willcox, AZ
  • NPI 1558329862
  Medicare reassignment Care Compare group NPD
• Amanda Ann Davis, NP

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1043850795
  Medicare reassignment Care Compare group NPD
• Frances Weaver Grill, FNP

  • Family Nurse Practitioner
  • Willcox, AZ
  • NPI 1679790174
  Medicare reassignment Care Compare group NPD
• Alma Christina Pando, NP

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1801602941
  Medicare reassignment Care Compare group NPD
• Dawn Kwader Walker, DO

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1306895529
  Medicare reassignment Care Compare group NPD
• Julie Anne Hilton, ACNP-BC,FNP-C

  • Acute Care Nurse Practitioner
  • Willcox, AZ
  • NPI 1679721476
  Medicare reassignment NPD
• Mark M Lessner, M.D.

  • Pediatrics Physician
  • Parker, AZ
  • NPI 1497857999

  Family Medicine

  Medicare reassignment NPD
• Mick Gene Drage, PA-C

  • Physician Assistant
  • Safford, AZ
  • NPI 1710935499
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1194907758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431136",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431136",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2226 W Business I 10",
            "address_purpose": "LOCATION",
            "city": "San Simon",
            "state": "AZ",
            "postal_code": "856329115",
            "country_code": "US",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2391 S Rock House Rd",
            "address_purpose": "LOCATION",
            "city": "Portal",
            "state": "AZ",
            "postal_code": "856329950",
            "country_code": "US",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 W Union St",
            "address_purpose": "LOCATION",
            "city": "Benson",
            "state": "AZ",
            "postal_code": "856026718",
            "country_code": "US",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALKER FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-240-2306",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stronghold Emergency Physicians
• Sulphur Springs Medical Center
• Sunny Days Therapy LLC
• Heather Anne Symonds, NP
• Chelsea Rae Tedford, COTA
• Dawn Kwader Walker, DO
• Crystal Ward
• Craig White, CRNA, MS
• Willcox Pharmacy, LLC (Willcox Health Mart Pharmacy)
• Willcox Unified School District

• Family Medicine Physician in Willcox, AZ
• Providers in Willcox, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.