Ronald R Walcher, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12238 Issued in OK

Practice address

600 E Grand Ave
Tonkawa, OK 74653-3545

Phone

(580) 628-2557

Fax

(580) 628-2132

NPI assigned

Feb 22, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tonkawa Healthcare Systems PC

  • Physician Assistant
  • Tonkawa, OK
  • NPI 1942333737
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1417922352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GRAND AVE",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533545",
            "telephone_number": "580-628-2557",
            "fax_number": "580-628-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GRAND AVE",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533545",
            "telephone_number": "580-628-2557",
            "fax_number": "580-628-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCHER",
        "first_name": "RONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "12238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255780C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stillwater Medical Center Authority
• Willie J Street, P.A.-C
• Tonkawa Healthcare Systems PC
• Tonkawa Public Schools
• Tonkawa SNF Behavioral Health LLC
• Wheatheart Medical Center, Inc.

• Family Medicine Physician in Tonkawa, OK
• Providers in Tonkawa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.

Verify at the official NPI Registry.