Active NPI
Anthony Fitzgerald Walker Jr., CERT. MEDICAL ASST.
- Specialist
- Atlantis, FL
National Provider Identifier
1407074974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 5053 Sout H Congress Ave.
Ste. 204
Atlantis, FL 33461 - Phone
- (561) 969-7300
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
5053 Sout H Congress Ave.
Ste. 204
Atlantis, FL 33461
Mailing address
6342 Forest Hill Blvd # 139
Greenacres, FL 33415-6104
Phone (561) 951-6976
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBD&P Inc | Past | Accepting new patients |
Interoperability endpoints
- https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/
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.
-
- Dermatopathology Physician
- West Palm Beach, FL
- NPI 1689640328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407074974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6342 FOREST HILL BLVD # 139",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334156104",
"telephone_number": "561-951-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 SOUT H CONGRESS AVE.",
"address_2": "STE. 204",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "33461",
"telephone_number": "561-969-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ANTHONY",
"middle_name": "FITZGERALD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CERT. MEDICAL ASST.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.