Individual provider Active NPI

Leonard Anderson Walker III, MD

  • Emergency Medicine Physician
  • Hermitage, TN
National Provider Identifier
1265495576
Registry record updated Aug 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000020690 Issued in TN
Practice address
5655 Frist Blvd
Hermitage, TN 37076-2053
Phone
(615) 316-3541
NPI assigned
Apr 8, 2006
Last updated
Aug 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20690 TN
Emergency Medicine Physician 207P00000X MD0000020690 TN Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD00020690 TN

Addresses

Primary practice location

5655 Frist Blvd
Hermitage, TN 37076-2053

Mailing address

2905 Blue Teal Lane
Signal Mountain, TN 37377
Phone (423) 475-6896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000020690TNMDEmergency Medicine Physician
MD00020690TNMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Physicians at Trousdale PLLC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dr_leonard_walker_-_teamhealth@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501977600000",
    "number": "1265495576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 BLUE TEAL LANE",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "37377",
            "telephone_number": "423-475-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 FRIST BLVD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762053",
            "telephone_number": "615-316-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LEONARD",
        "middle_name": "ANDERSON",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2017-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "20690",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000020690",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "MD00020690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.