Organization Active NPI

Workforce Development Services, Inc.

  • Pediatrics Physician
  • Gary, IN
National Provider Identifier
1700444569
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jun 5, 2019

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2008B8890MedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.