Individual provider Active NPI

Samuel Patrick Walker Jr., D.O.

  • Internal Medicine Physician
  • East Liverpool, OH
National Provider Identifier
1255685152
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO.1545 Issued in AL
Practice address
1305 Dairy LN
East Liverpool, OH 43920-9764
Phone
(205) 454-7704
NPI assigned
Oct 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO.1545 AL Primary

Addresses

Primary practice location

1305 Dairy LN
East Liverpool, OH 43920-9764

Mailing address

1305 Dairy LN
East Liverpool, OH 43920-9764
Phone (205) 454-7704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160617000848 AL Practitioner - Internal Medicine 4183915358 Reassigns benefits to 2 organizations
I20200910001813 OH Practitioner - Internal Medicine 4183915358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

425 W 5TH St
East Liverpool, OH 43920-2405
Phone (330) 385-2926

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Columbiana Emergency Physicians LLC CurrentSince Aug 14, 2020 Accepting new patients
Hles of Ohio Inc CurrentSince Sep 13, 2022 Accepting new patients
River Valley Physicians, LLC CurrentSince Jan 1, 2024 Accepting new patients
Hles of Ohio Inc CurrentSince Sep 13, 2022 Accepting new patients
Crenshaw County Health Care Authority Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Hles of Ohio, Inc. Current Accepting new patients
Luverne Health Clinic, P.a. Internal Medicine CurrentSince Dec 31, 2015 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

39 Roy Beall Dr
Luverne, AL 36049
Phone (334) 335-6515

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1255685152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 DAIRY LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209764",
            "telephone_number": "205-454-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 DAIRY LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209764",
            "telephone_number": "205-454-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SAMUEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.1545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.