Active NPI
Miley Wesson Walker, MD
- Urology Physician
- Suffolk, VA
National Provider Identifier
1386600062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101030299
- Practice address
- 7185 Harbour Towne Pkwy S Ste 200
Suffolk, VA 23435-3796 - Phone
- (757) 457-5100
- Fax
- (757) 961-3934
- NPI assigned
- Apr 22, 2006
- Last updated
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101030299 | VA | Primary |
Addresses
Primary practice location
7185 Harbour Towne Pkwy S Ste 200
Suffolk, VA 23435-3796
Mailing address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7576927 | Medicaid | VA | |
| 7906874 | Medicaid | NC | |
| 005888 | Other | BCBS | |
| 02858331 | Medicaid | NJ | |
| 340004002 | Other | VA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1386600062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7185 HARBOUR TOWNE PKWY S STE 200",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353796",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MILEY",
"middle_name": "WESSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101030299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7576927",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7906874",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "005888",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02858331",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340004002",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
- Wal-Mart Stores East, LP (Vision Center 30-3214)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Walgreen Co (Walgreens #15446)
- Walgreen Co (Walgreens # 10332)
- Walgreen Co. (Walgreens #10416)
- Teela J Walker, NP
- Walking by Faith Home Health Care Inc.
- David F Waller, MD
- Christopher Joseph Walshe, MD
- Jeremy Walters, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.