Walter Richard Hadikin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34820 Issued in AZ

Practice address

14973 W Bell Rd
Ste #100
Surprise, AZ 85374-3202

Phone

(623) 815-2900

Fax

(623) 583-1319

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215047196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18416 N CAVE CREEK RD",
            "address_2": "APT 3005",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321035",
            "telephone_number": "623-815-2900",
            "fax_number": "623-583-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14973 W BELL RD",
            "address_2": "STE #100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743202",
            "telephone_number": "623-815-2900",
            "fax_number": "623-583-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADIKIN",
        "first_name": "WALTER",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984957",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Gutierrez, ATC
• Julia Gutkin
• Christina Adelena Guy
• Amanda Jenkins Gwardys-Cook, PMHNP-BC
• Deborah Blair Gyorffy, OTR
• Thomas Hageman, RVT
• Justin J Hahn, PT
• Hannah Haley
• Bradley Gerald Hall, PA-C
• Edward Hall

• Family Medicine Physician in Surprise, AZ
• Providers in Surprise, 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 Jul 8, 2007; 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.