Active NPI
James Michael Walker, M.D.
- Developmental - Behavioral Pediatrics Physician
- Daytona Beach, FL
National Provider Identifier
1225153752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- ME110990
- Practice address
- 1219 Dunn Ave
Daytona Beach, FL 32114-2405 - Phone
- (386) 255-4568
- Fax
- (386) 258-7677
- NPI assigned
- Mar 21, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35 077290 | OH | |
| Pediatrics Physician | 208000000X | ME110990 | FL | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | ME110990 | FL | Primary |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 35.077290 | OH | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 35 077290 | OH |
Addresses
Primary practice location
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 255-4568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115210100 | Medicaid | FL |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 077290 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1225153752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 DUNN AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142405",
"telephone_number": "386-255-4568",
"fax_number": "386-258-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 DUNN AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142405",
"telephone_number": "386-255-4568",
"fax_number": "386-258-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35 077290",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME110990",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "FL",
"license": "ME110990",
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OH",
"license": "35.077290",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OH",
"license": "35 077290",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115210100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.