Allen R. Walker Jr., MD, PHD, THD

Primary specialty

SpecialistTaxonomy code 174400000X

License

TN35058 Issued in TN

Practice address

538 Raymond Hirsch Pkwy
White House, TN 37188-8080

Phone

(615) 672-1221

Fax

(615) 672-1231

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crescent Wound Care Inc

  • Obstetrics & Gynecology Physician
  • Spencer, TN
  • NPI 1538957436
  Medicare reassignment
• Allen Walker, M.D., L.L.C.

  • Specialist
  • White House, TN
  • NPI 1184806077
  NPD (past) Authorized official
• Cumberland Back Pain Clinic PC

  • Specialist
  • Cookeville, TN
  • NPI 1265465041
  NPD (past)
• Fall Creek Medical Management, P.C.

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1568798635
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1376580159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 RAYMOND HIRSCH PKWY",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371888080",
            "telephone_number": "615-672-1221",
            "fax_number": "615-672-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 RAYMOND HIRSCH PKWY",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371888080",
            "telephone_number": "615-672-1221",
            "fax_number": "615-672-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALLEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, PHD, THD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD25058",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "TN35058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TENNESSEE",
            "identifier": "4172875",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leilani Hope Victor, PA
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co.
• Melissa Catherine Wampler, OTR
• Traci H Wayman, PHARM.D.
• Mary Kathryn Welch, CCC SLP
• White House Chiropractic, LLC.
• White House Dental Associates PC

• Specialist in White House, TN
• Providers in White House, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.