Individual provider Active NPI

Louis Ernest Valker

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1265778104
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35 024718 Issued in OH
Practice address
6375 Shawnee Pines Dr
Cincinnati, OH 45243-3153
Phone
(513) 271-4331
NPI assigned
Dec 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35 024718 OH Primary

Addresses

Primary practice location

6375 Shawnee Pines Dr
Cincinnati, OH 45243-3153

Mailing address

6375 Shawnee Pines Drive
Cincinnati, OH 45423

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35 024718OHMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1265778104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 SHAWNEE PINES DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 SHAWNEE PINES DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433153",
            "telephone_number": "513-271-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALKER",
        "first_name": "LOUIS",
        "middle_name": "ERNEST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35 024718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.