Active NPI
Edward J Walko, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Norfolk, VA
National Provider Identifier
1396773263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 0102049902
- Practice address
- 5665 Lowery Rd
Suite 100
Norfolk, VA 23502-2220 - Phone
- (757) 422-2966
- Fax
- (757) 422-4563
- NPI assigned
- Jun 29, 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 |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 0102049902 | VA | Primary |
Addresses
Primary practice location
5665 Lowery Rd
Suite 100
Norfolk, VA 23502-2220
Mailing address
5665 Lowery Rd
Suite 100
Norfolk, VA 23502-2220
Phone (757) 422-2966
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006800238 | Medicaid | VA | |
| 2300033 | Other | UNITED HEALTH CARE | |
| 890616F | Medicaid | NC | |
| 400003 | Other | VA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102049902 | VA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walko Enterprise Incorporated | Pain Medicine | Current | Accepting new patients |
Locations
1133 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 496-2050
1788 Republic Rd
Virginia Beach, VA 23454
Phone (757) 640-8673
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 and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Virginia Beach, VA
- NPI 1437555083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1396773263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 LOWERY RD",
"address_2": "SUITE 100",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022220",
"telephone_number": "757-422-2966",
"fax_number": "757-422-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 LOWERY RD",
"address_2": "SUITE 100",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022220",
"telephone_number": "757-422-2966",
"fax_number": "757-422-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKO",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "VA",
"license": "0102049902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006800238",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2300033",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890616F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "400003",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.