NPIMap

Individual provider Active NPI

Daniel George Walker, DO

  • Family Medicine Physician
  • Lehighton, PA
National Provider Identifier
1225014756
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014666 Issued in PA
Practice address
2175 Blakeslee Boulevard Dr W
Lehighton, PA 18235-9776
Phone
(570) 386-4171
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014666 PA Primary
Family Medicine Physician 207Q00000X 0530514 KS

Addresses

Primary practice location

2175 Blakeslee Boulevard Dr W
Lehighton, PA 18235-9776

Mailing address

2175 Blakeslee Boulevard Dr W
Lehighton, PA 18235-9776
Phone (570) 386-4171

Other identifiers 2

IdentifierTypeStateIssuer
200253490DMedicaidKS
102297010MedicaidPA

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0530514KSMDFamily Medicine Physician
OS014666PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of Kansas, P.a. Past Accepting new patients
Mercy Kansas Communities Inc Family Medicine Past Accepting new patients
Mercy Kansas Communities, Inc Family Medicine Past Accepting new patients

Organizations & group practices 3

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1225014756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 BLAKESLEE BOULEVARD DR W",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359776",
            "telephone_number": "570-386-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 BLAKESLEE BOULEVARD DR W",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359776",
            "telephone_number": "570-386-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DANIEL",
        "middle_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014666",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0530514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200253490D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102297010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.