Individual provider Active NPI

Allison Gray Walker, PA - C

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1427028042
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A10550 Issued in LA
Practice address
5408 Flanders Dr
Baton Rouge, LA 70808-9168
Phone
(225) 769-5554
Fax
(225) 769-5502
NPI assigned
Jan 25, 2006
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A10550 LA Primary

Addresses

Primary practice location

5408 Flanders Dr
Baton Rouge, LA 70808-9168

Mailing address

12300 Sugar Mill Dr
Geismar, LA 70734-3253
Phone (225) 677-9262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000249 LA Practitioner - Physician Assistant 5193791515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5408 Flanders Dr
Baton Rouge, LA 70808-9137
Phone (225) 769-5554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A10550LAMDInterventional Pain Medicine Physician
TEMPLAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Cardiology Center Past Accepting new patients
Neuromedical Center Past Accepting new patients
Immi, LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1427028042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 SUGAR MILL DR",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343253",
            "telephone_number": "225-677-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089168",
            "telephone_number": "225-769-5554",
            "fax_number": "225-769-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALLISON",
        "middle_name": "GRAY",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "A10550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.