Individual provider Active NPI

William Walker, M.D.

  • Aerospace Medicine Physician
  • Vail, AZ
National Provider Identifier
1457321192
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
01059020A Issued in IN
Practice address
14336 E Manhead Lookout Dr
Vail, AZ 85641-2550
Phone
(520) 975-7083
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 01059020A IN Primary

Addresses

Primary practice location

14336 E Manhead Lookout Dr
Vail, AZ 85641-2550

Mailing address

14336 E Manhead Lookout Dr
Vail, AZ 85641-2550
Phone (520) 975-7083

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150122001117 NM Practitioner - General PracticePractitioner - Emergency Medicine 6406918150 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01059020AINMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess Hospitalist LLC CurrentSince Sep 1, 2015 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Nov 12, 2014 Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
River Crossing Emergency Physicians Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

Organizations & group practices 6

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.

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": "1369785600000",
    "number": "1457321192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14336 E MANHEAD LOOKOUT DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412550",
            "telephone_number": "520-975-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14336 E MANHEAD LOOKOUT DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412550",
            "telephone_number": "520-975-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "01059020A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, AZ

Sources for this page

Verify at the official NPI Registry.