Organization Active NPI

Walko Enterprise Incorporated

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Virginia Beach, VA
National Provider Identifier
1437555083
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0102049902 Issued in VA
Legal business name
WALKO ENTERPRISE INCORPORATED
Practice address
1788 Republic Rd
Virginia Beach, VA 23454
Phone
(757) 640-8673
Fax
(757) 437-4582
NPI assigned
Nov 10, 2014
Last updated
Feb 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. Edward J Walko, D.O.NPI 1396773263
Title
President
Phone
(757) 640-8673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0102049902 VA Primary

Addresses

Primary practice location

1788 Republic Rd
Virginia Beach, VA 23454

Mailing address

1788 Republic Rd
Virginia Beach, VA 23454
Phone (757) 640-8673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150212002050 VA Part B Supplier - Clinic/Group Practice 3577888692 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA; Norfolk, VA; Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

637 Kingsborough Sq
Ste F
Chesapeake, VA 23320
Phone (757) 547-7554

1788 Republic Rd
Virginia Beach, VA 23454
Phone (757) 640-8673

762 Independence Blvd
Ste 772
Virginia Beach, VA 23455
Phone (757) 456-2032

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1437555083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 REPUBLIC RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-640-8673",
            "fax_number": "757-437-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 REPUBLIC RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-640-8673",
            "fax_number": "757-437-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKO ENTERPRISE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "WALKO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-640-8673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0102049902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.