Mark Moore Walker, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C50976 Issued in CA

Practice address

225 Crossroads Blvd
Suite 285
Carmel, CA 93923-8674

Phone

(831) 240-5458

NPI assigned

Aug 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376179200000",
    "number": "1396178604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CROSSROADS BLVD",
            "address_2": "SUITE 285",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238674",
            "telephone_number": "831-240-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CROSSROADS BLVD",
            "address_2": "SUITE 285",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238674",
            "telephone_number": "831-240-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARK",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-11",
        "last_updated": "2013-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C50976",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "15751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Marie Vasu, D.P.T.
• Brett Veshecco, D.P.T.
• Richard Constant Vieille Jr., PH.D.
• Yesel Von Ruden, PPS
• Victoria McKenzie Wagner
• Shauna Marie Weaver, PHARMD
• Alexandra Klein Weber, CMT
• Patrick Lloyd Welton, MD
• Amanda Cheyenne M Weston
• Chandra Kumari Westover

• General Practice Physician in Carmel, CA
• Providers in Carmel, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.