Active NPI
Suzanne M Walker MD LLC
- Internal Medicine Physician
- Hardeeville, SC
National Provider Identifier
1205848207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23871
- Legal business name
- SUZANNE M WALKER MD LLC
- Practice address
- 1000 Medical Center Dr
Hardeeville, SC 29927-3446 - Phone
- (843) 784-8000
- NPI assigned
- Aug 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suzanne M Walker, MD
- Title
- President
- Phone
- (843) 815-6411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23871 | SC | Primary |
Addresses
Primary practice location
1000 Medical Center Dr
Hardeeville, SC 29927-3446
Mailing address
PO Box 190
Bluffton, SC 29910-0190
Phone (843) 815-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4267 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1528012895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205848207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299100190",
"telephone_number": "843-815-6411",
"fax_number": "843-815-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER DR",
"city": "HARDEEVILLE",
"state": "SC",
"postal_code": "299273446",
"telephone_number": "843-784-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUZANNE M WALKER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-815-6411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "23871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4267",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hardeeville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.