Active NPI
Melvin O Walker, MD
- Internal Medicine Physician
- Springfield, MO
National Provider Identifier
1558306704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9801
- Practice address
- 2754 W Republic Rd
Springfield, MO 65807-3901 - Phone
- (417) 881-8812
- Fax
- (417) 881-1618
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R9801 | MO | Primary |
Addresses
Primary practice location
2754 W Republic Rd
Springfield, MO 65807-3901
Mailing address
2754 W Republic Rd
Springfield, MO 65807-3901
Phone (417) 881-8812
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141644 | Other | HEALTHLINK | |
| 22657 | Other | BCBS | |
| 110221088 | Other | RAILROAD MEDICARE | |
| 201069747 | Medicaid | MO | |
| 2530 | Other | COX HEALTH SYSTEMS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9801 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1558306704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2754 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073901",
"telephone_number": "417-881-8812",
"fax_number": "417-881-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2754 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073901",
"telephone_number": "417-881-8812",
"fax_number": "417-881-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MELVIN",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R9801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "141644",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "22657",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110221088",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201069747",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COX HEALTH SYSTEMS",
"identifier": "2530",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.