Individual provider Active NPI

Scott W. Walker, MD

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1548277387
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-00112 Issued in NC
Practice address
3331 Tate Blvd SE
Hickory, NC 28602
Phone
(877) 866-7123
NPI assigned
Aug 2, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017-00112 NC Primary
Orthopaedic Surgery Physician 207X00000X 01031536A IN

Addresses

Primary practice location

3331 Tate Blvd SE
Hickory, NC 28602

Mailing address

147 Watergate Rd
Lake Lure, NC 28746-9615
Phone (765) 284-7738

Other practice location 1

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

Other identifiers 3

IdentifierTypeStateIssuer
100341070MedicaidIN
200018967OtherINRAILROAD MEDICARE
000000087014OtherINANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100121000177 IN Practitioner - Orthopedic Surgery 7719882620 Reassigns benefits to 1 organization
I20180313002062 NC Practitioner - Family PracticePractitioner - Orthopedic SurgeryPractitioner - Peripheral Vascular Disease 7719882620 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine of Indiana PC Orthopaedic Surgery CurrentSince Mar 8, 2020 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Dec 8, 2018 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Family Medicine CurrentSince Jan 8, 2018 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Dec 8, 2018 Accepting new patients

Locations

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

Interoperability endpoints

  • Direct secure messaging: swwalker@direct.iuhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548277387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WATERGATE RD",
            "city": "LAKE LURE",
            "state": "NC",
            "postal_code": "287469615",
            "telephone_number": "765-284-7738",
            "fax_number": "765-284-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 W Bethel Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473045407",
            "country_code": "US",
            "telephone_number": "765-284-7738",
            "fax_number": "765-213-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-00112",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01031536A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100341070",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200018967",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000087014",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.