Walker Internal Medicine Clinic PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

C8337 Issued in AR

Legal business name

WALKER INTERNAL MEDICINE CLINIC PA

Doing business as

Walker Internal Medicine Clinic

Practice address

9600 Lile Dr
#220
Little Rock, AR 72205

Phone

(501) 219-1028

Fax

(501) 219-1174

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Shandra Denice Burns

Title

Team Coordinator

Phone

(501) 219-1028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Walker Internal Medicine Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Lee William Walker Jr., M.D.

  • Specialist
  • Little Rock, AR
  • NPI 1417044348
  Medicare reassignment NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1508082389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "address_2": "STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316",
            "telephone_number": "501-812-7800",
            "fax_number": "501-812-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 LILE DR",
            "address_2": "#220",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-219-1028",
            "fax_number": "501-219-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER INTERNAL MEDICINE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "TEAM COORDINATOR",
        "authorized_official_telephone_number": "501-219-1028"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C8337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145041002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Internal Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Prateek Dhar Wali, MD
• Walker Orthodontics, Inc
• Addison L. Walker, D.D.M.
• Amiya Walker
• Andre Walker, QBHP
• Aquarius Walker, QBHP

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.