Individual provider Active NPI

Dawn Kwader Walker, DO

  • Family Medicine Physician
  • Willcox, AZ
National Provider Identifier
1306895529
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3240 Issued in AZ
Practice address
801 W Rex Allen Dr
Willcox, AZ 85643-1129
Phone
(520) 766-5000
Fax
(520) 766-5001
NPI assigned
May 6, 2006
Last updated
May 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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 3240 AZ Primary

Addresses

Primary practice location

801 W Rex Allen Dr
Willcox, AZ 85643-1129

Mailing address

801 W Rex Allen Dr
Willcox, AZ 85643-1129
Phone (520) 766-5000

Other identifiers 1

IdentifierTypeStateIssuer
409369MedicaidAZ

Other names 1

  • Dawn Ellen Kwader Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000150 AZ Practitioner - Family Practice 1759355944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Family Medicine PLCGroup PAC ID 1557445004, 5 clinicians

Practice addresses (Care Compare)

2391 S Rock House Rd
Portal, AZ 85632-9950
Phone (520) 766-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3240AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Family Medicine PLC Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Walker Family Medicine PLC Family Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

801 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 766-5000

Interoperability endpoints

  • Direct secure messaging: dawnwalker_8826@wfm.omnimddirect.com

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.

Hospital & facility affiliations 5

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1306895529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431129",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431129",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DAWN",
        "middle_name": "KWADER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409369",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "KWADER",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willcox, AZ

Sources for this page

Verify at the official NPI Registry.