Active NPI
Workforce Development Services, Inc.
- Pediatrics Physician
- Gary, IN
National Provider Identifier
1700444569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WORKFORCE DEVELOPMENT SERVICES, INC.
- Practice address
- 4629 Melton Rd
Gary, IN 46403-2866 - Phone
- (219) 938-2637
- Fax
- (219) 938-6338
- NPI assigned
- Jun 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roland Walker
- Title
- Physician
- Phone
- (219) 938-2637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4629 Melton Rd
Gary, IN 46403-2866
Mailing address
4629 Melton Rd
Gary, IN 46403-2866
Phone (219) 938-2637
Other practice location 1
6916 W Johnson Rd
LA Porte, IN 46350-6548
Phone (219) 938-2637
Other practice location 2
426 S Lake St
Gary, IN 46403-2405
Phone (219) 938-2637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008B8890 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
4629 Melton Rd
Gary, IN 46403
Phone (219) 938-2637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559692800000",
"number": "1700444569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 MELTON RD",
"city": "GARY",
"state": "IN",
"postal_code": "464032866",
"telephone_number": "219-938-2637",
"fax_number": "219-938-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 MELTON RD",
"city": "GARY",
"state": "IN",
"postal_code": "464032866",
"telephone_number": "219-938-2637",
"fax_number": "219-938-6338"
}
],
"practiceLocations": [
{
"address_1": "6916 W Johnson Rd",
"address_purpose": "LOCATION",
"city": "LA Porte",
"state": "IN",
"postal_code": "463506548",
"country_code": "US",
"telephone_number": "219-938-2637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "426 S Lake St",
"address_purpose": "LOCATION",
"city": "Gary",
"state": "IN",
"postal_code": "464032405",
"country_code": "US",
"telephone_number": "219-938-2637",
"fax_number": "219-938-6338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WORKFORCE DEVELOPMENT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "ROLAND",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "219-938-2637",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2008B8890",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.