Marvin Dean Walker, D.O.
Individual provider Active NPI Diagnostic Radiology Physician · Clive, IA
NPI 1609833102 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1609833102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 02204 (IA)
- Practice address
- 12368 Stratford Dr
Suite 300
Clive, IA 50325-8162 - Phone
- (515) 226-9810
- Fax
- (515) 226-8408
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060207000186 | IA | Practitioner - Diagnostic Radiology | 0941294813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02204 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BTX Iowa Inc | Current |
Accepting new patients | |
| Trinity Regional Medical Center | Current |
Accepting new patients | |
| Diagnostic Imaging of in PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 02204 | IA | Yes |
Addresses
Primary practice location
12368 Stratford Dr
Suite 300
Clive, IA 50325-8162
Mailing address
153 37TH St
Des Moines, IA 50312-4303
Phone (515) 277-0753
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043364 | Medicaid | IA |
Other providers in Clive, IA
- Julie Ann Waggoner
- Rachel Wakefield
- Walgreen Co
- Walgreen Co
- Paradise Walker-Cain
- Catherine Wallace
- Timothy William Walsh
- Rachel Wanninger
- Lindsay Ward
- Catherine Wargo
All providers in Clive, IA · Diagnostic Radiology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.