NPIMap

Individual provider Active NPI

James Kenton Walker, DO

  • Family Medicine Physician
  • Madison, WV
National Provider Identifier
1265412472
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
771 Issued in WV
Practice address
701 Madison Ave
Madison, WV 25130-1669
Phone
(304) 369-4250
Fax
(304) 369-8808
NPI assigned
Jan 23, 2006
Last updated
Sep 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 771 WV Primary

Addresses

Primary practice location

701 Madison Ave
Madison, WV 25130-1669

Mailing address

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-4250

Other identifiers 3

IdentifierTypeStateIssuer
00140982OtherWVRR MEDICARE
2550065MedicaidOH
0050721000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000414 WV Practitioner - Family Practice 9436132552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Access CorporationGroup PAC ID 2668528746, 12 clinicians

Practice addresses (Care Compare)

386 Airport Rd
Chapmanville, WV 25508-9202
Phone (304) 855-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Access Corporation Family Medicine CurrentSince Apr 8, 2020 Accepting new patients
Rural Health Access Corporation CurrentSince Apr 8, 2020 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Integrated Health Care Providers Past Accepting new patients

Locations

384 Airport Rd
Chapmanville, WV 25508
Phone (304) 855-0224

386 Airport Rd
Chapmanville, WV 25508
Phone (304) 855-1200

Interoperability endpoints

  • Direct secure messaging: james.walker.1@16636.direct.athenahealth.com

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1265412472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301669",
            "telephone_number": "304-369-4250",
            "fax_number": "304-369-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301669",
            "telephone_number": "304-369-4250",
            "fax_number": "304-369-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JAMES",
        "middle_name": "KENTON",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "00140982",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550065",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050721000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

Verify at the official NPI Registry.