Active NPI
Timothy S Walker, M.D.
- Pediatrics Physician
- Radford, VA
National Provider Identifier
1407810245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101039620
- Practice address
- 200 8TH St
Radford, VA 24141-2426 - Phone
- (540) 639-5188
- Fax
- (540) 639-9215
- NPI assigned
- Apr 17, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101039620 | VA | Primary |
Addresses
Primary practice location
200 8TH St
Radford, VA 24141-2426
Mailing address
200 8TH St
Radford, VA 24141-2426
Phone (540) 639-5188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006702953 | Medicaid | VA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160825000267 | VA | Order and Referring Only - Pediatric Medicine | 9436444775 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039620 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1407810245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 8TH ST",
"city": "RADFORD",
"state": "VA",
"postal_code": "241412426",
"telephone_number": "540-639-5188",
"fax_number": "540-639-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 8TH ST",
"city": "RADFORD",
"state": "VA",
"postal_code": "241412426",
"telephone_number": "540-639-5188",
"fax_number": "540-639-9215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TIMOTHY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101039620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006702953",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Radford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.