Lynn R Walker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301053372 Issued in MI

Practice address

12741 S Saginaw St
Suite 402
Grand Blanc, MI 48439-2460

Phone

(810) 694-7412

Fax

(810) 344-9215

NPI assigned

Oct 21, 2005

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Harbortown Treatment Center PLLC

  • Methadone Clinic
  • Benton Harbor, MI
  • NPI 1154414183
  Medicare reassignment NPD
• Robert Bouvier MD, PLC

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1700049616
  Medicare reassignment NPD
• Eastside Outpatient Services PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Muskegon, MI
  • NPI 1487275376
  NPD
• Jon L. Schriner, D.O PC

  • Respite Care
  • Flushing, MI
  • NPI 1174826069
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1699765685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 OLD FRANKLIN RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398637",
            "telephone_number": "810-694-7412",
            "fax_number": "810-344-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 S SAGINAW ST",
            "address_2": "SUITE 402",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392460",
            "telephone_number": "810-694-7412",
            "fax_number": "810-344-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LYNN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301053372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0988458",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4764096",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0802511741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Ann A Walker, O.D.
• Heather Marie Walker, NP
• James D Walker II, MD
• Kristie Walker
• Timothy Drew Walker, OD
• Aniya Wallace
• Elicia Wallace
• Linda Wallace, PTA
• Lawrence L Walny, M.D.

• Family Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, 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 May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.