Active NPI
Edward S Walker MD PA
- Geriatric Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
National Provider Identifier
1285071449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- EDWARD S WALKER MD PA
- Practice address
- 2001 NE 48TH CT
Suite 1
Fort Lauderdale, FL 33308-4512 - Phone
- (954) 772-9822
- Fax
- (954) 772-9697
- NPI assigned
- May 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Walker
- Title
- MD
- Phone
- (954) 772-9822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
2001 NE 48TH CT
Suite 1
Fort Lauderdale, FL 33308-4512
Mailing address
2001 NE 48TH CT
Suite 1
Fort Lauderdale, FL 33308-4512
Phone (954) 772-9822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049482800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2001 NE 48th Ct
Ste 1
Ft Lauderdale, FL 33308
Phone (954) 772-9822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
- NPI 1619073574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369785600000",
"number": "1285071449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 NE 48TH CT",
"address_2": "SUITE 1",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084512",
"telephone_number": "954-772-9822",
"fax_number": "954-772-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 NE 48TH CT",
"address_2": "SUITE 1",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084512",
"telephone_number": "954-772-9822",
"fax_number": "954-772-9697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD S WALKER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "954-772-9822"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049482800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.