Djuan Walton

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

SD750143 Issued in OH

Practice address

3652 Ripley Trail Dr
Pickerington, OH 43147-7510

Phone

(937) 241-0662

NPI assigned

Feb 24, 2020

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1487288080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 RIPLEY TRAIL DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477510",
            "telephone_number": "937-241-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 RIPLEY TRAIL DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477510",
            "telephone_number": "937-241-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "DJUAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "SD750143",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "SD750143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Thomas Wagner, M.D.
• Desta A Wako
• Walgreen Co (Walgreens #12008)
• Ellis Walker Jr., LPN
• Sharen Kay Walters
• George Harold Walton
• Edna Mwikali Wambua
• Paris Ward
• Jacqueline Ware
• Hannah Nicole Warner

• Non-emergency Medical Transport (VAN) in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.