Roderick Walker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301052529 Issued in MI

Practice address

2050 N Haggerty Rd
Suite 100
Canton, MI 48187-3795

Phone

(734) 981-1086

NPI assigned

Mar 9, 2006

Last updated

Mar 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Oakwood Healthcare Inc

  dba Corewell Health Retail Pharmacy Westland

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)
• Robyn L. Dragoo, OD PC

  • Optometrist
  • Novi, MI
  • NPI 1447482369
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1568430122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "RODERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301052529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080111824",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103376072",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreens Specialty Pharmacy LLC (Walgreens Specialty Pharmacy #15438)
• Walgreens Specialty Pharmacy, LLC (Walgreens Specialty Pharmacy #15438)
• Katelyn D Waligora
• Marie Suezzette Walker
• Quinn Walker, LCSW
• Teraye Walker
• Yvonne Walker
• Dashawn LM Wallace, LPC
• Keesha Michelle Wallace, RN,BSN
• Carole Walsh, MD

• Family Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.