Active NPI
Daniel Richard Walker, M.D.
- Infectious Disease Physician
- Conroe, TX
National Provider Identifier
1356376891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- G0253
- Practice address
- 100 Medical Center Blvd
Suite 212
Conroe, TX 77304-2888 - Phone
- (936) 756-1322
- Fax
- (936) 756-1302
- NPI assigned
- Jul 12, 2006
- Last updated
- Oct 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G0253 | TX | |
| Infectious Disease Physician | 207RI0200X | G0253 | TX | Primary |
Addresses
Primary practice location
100 Medical Center Blvd
Suite 212
Conroe, TX 77304-2888
Mailing address
101 Vision Park Blvd.
Suite 100
Shenandoah, TX 77384
Phone (936) 756-1322
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4354722 | Other | TX | AETNA |
| 00FQ60 | Other | TX | BLUE CROSS |
| 130523703 | Medicaid | TX |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel R. Walker, M.D., P.a. | Infectious Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- Conroe, TX
- NPI 1245261411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1356376891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 VISION PARK BLVD.",
"address_2": "SUITE 100",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77384",
"telephone_number": "936-756-1322",
"fax_number": "936-273-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER BLVD",
"address_2": "SUITE 212",
"city": "CONROE",
"state": "TX",
"postal_code": "773042888",
"telephone_number": "936-756-1322",
"fax_number": "936-756-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DANIEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G0253",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "G0253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4354722",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00FQ60",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130523703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.