Active NPI
Zackary Walker Wakerlig, LXMO
- Radiography Radiologic Technologist
- Hermiston, OR
National Provider Identifier
1215466230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 916154
- Practice address
- 1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713 - Phone
- (541) 567-2995
- Fax
- (541) 567-7720
- NPI assigned
- Jun 5, 2017
- 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 |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 916154 | OR | Primary |
Addresses
Primary practice location
1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713
Mailing address
1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713
Phone (541) 567-2995
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 916154 | OR | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496620800000",
"number": "1215466230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W ELM AVE STE 110",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382713",
"telephone_number": "541-567-2995",
"fax_number": "541-567-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W ELM AVE STE 110",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382713",
"telephone_number": "541-567-2995",
"fax_number": "541-567-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKERLIG",
"first_name": "ZACKARY",
"middle_name": "WALKER",
"credential": "LXMO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "OR",
"license": "916154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.