Organization Active NPI

Emerson Walden Jr, Inc

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1437450004
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D17154 Issued in MD
Legal business name
EMERSON WALDEN JR, INC
Practice address
301 Saint Paul PL
Suite 420
Baltimore, MD 21202-2102
Phone
(410) 528-1326
Fax
(410) 783-8793
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Emerson Walden Jr., M.D.
Title
Owner
Phone
(410) 802-6184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X D17154 MD Primary

Addresses

Primary practice location

301 Saint Paul PL
Suite 420
Baltimore, MD 21202-2102

Mailing address

9991 Village Green Dr
Woodstock, MD 21163-1155
Phone (410) 802-6184

Other identifiers 1

IdentifierTypeStateIssuer
118411300MedicaidMD

National Provider Directory

National Provider Directory

Locations

301 Saint Paul St
Ste 715
Baltimore, MD 21202

3608 Offutt Rd
Unit 416
Randallstown, MD 21133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1437450004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9991 VILLAGE GREEN DR",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631155",
            "telephone_number": "410-802-6184",
            "fax_number": "410-783-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "SUITE 420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-528-1326",
            "fax_number": "410-783-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON WALDEN JR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "EMERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-802-6184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D17154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118411300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.