Active NPI
Neal S Walker, D.O.
- Dermatology Physician
- Limerick, PA
National Provider Identifier
1396706123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS010136L
- Practice address
- 410 W Linfield Trappe Rd
240
Limerick, PA 19468-4295 - Phone
- (610) 495-6500
- Fax
- (610) 495-6558
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS010136L | PA | Primary |
Addresses
Primary practice location
410 W Linfield Trappe Rd
240
Limerick, PA 19468-4295
Mailing address
1064 Redtail Rd
Audubon, PA 19403-1841
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1308710 | Other | PA | HIGHMARK BLUE SHIELD |
| 50012511 | Other | PA | CAPITOL BLUE CROSS |
| 2601155 | Other | PA | AETNA |
| P00109725 | Other | PA | RAILROAD MEDICARE |
| 2002823000 | Other | PA | INDEPENDENCE BLUE CROSS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS010136L | PA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1396706123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 REDTAIL RD",
"city": "AUDUBON",
"state": "PA",
"postal_code": "194031841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W LINFIELD TRAPPE RD",
"address_2": "240",
"city": "LIMERICK",
"state": "PA",
"postal_code": "194684295",
"telephone_number": "610-495-6500",
"fax_number": "610-495-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "NEAL",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "OS010136L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1308710",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS",
"identifier": "50012511",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2601155",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00109725",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2002823000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Limerick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.