Johnny Walker Jr.

Primary specialty

DriverTaxonomy code 172A00000X

License

W4264205140705 Issued in WI

Practice address

4523 W Medford Ave
Milwaukee, WI 53216-3448

Phone

(414) 445-3373

Fax

(414) 873-3299

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Johnny Walker Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407976012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 W MEDFORD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163448",
            "telephone_number": "414-445-3373",
            "fax_number": "414-873-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 W MEDFORD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163448",
            "telephone_number": "414-445-3373",
            "fax_number": "414-873-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHNNY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "W4264205140705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNY",
            "last_name": "WALKER",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Michael Walker, M.D.
• Jasmine Chivon Walker, M.D.
• Jasmine Monique Walker
• Jodi Lynn Walker
• Joe R Walker, PHARM D
• Keyona Walker, PH.D.
• Kristin Michelle Walker, M.S., LPC
• Malynda Walker, LPC-IT
• Monet Walker
• Ondrea Sheree Walker, CD, CPD

• Driver in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Driver in Wisconsin

• 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.

Verify at the official NPI Registry.