Grace Lee Walker MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01031945 Issued in IN

Legal business name

GRACE LEE WALKER MD PC

Practice address

476 Buckeye St
Terre Haute, IN 47804-4079

Phone

(812) 232-2683

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Grace Lee Walker, M.D.

Title

Physician

Phone

(812) 232-2683

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grace Lee Walker, MD Other name

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1548560543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 BUCKEYE ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044079",
            "telephone_number": "812-232-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 BUCKEYE ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044079",
            "telephone_number": "812-232-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE LEE WALKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-232-2683",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01031945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000250977",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Lee Walker, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron Goshinska, MD
• Lauryn Gould, CCC-SLP
• Leah Gouwens, DO
• Chitra Gowda, MD
• Shashikumar R Gowda, M.D.
• Jaycie Graves
• Meghan T Gray
• Meredeth Su Gray, DDS
• Carnell Green Jr
• Ashlee Danyel Green, RBT

• Primary Care Clinic/Center in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.