Active NPI
Walker Mackenzie Heffron, MD
- Orthopaedic Surgery Physician
- Mount Pleasant, SC
National Provider Identifier
1710501242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 84209
- Practice address
- 3510 N Highway 17 Ste 220
Mt Pleasant, SC 29466-8245 - Phone
- (843) 853-3474
- Fax
- (843) 853-3500
- NPI assigned
- Jun 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 84209 | SC | Primary |
Addresses
Primary practice location
3510 N Highway 17 Ste 220
Mt Pleasant, SC 29466-8245
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20646 | RI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopedics, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| University Orthopedics, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400
2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504
Interoperability endpoints
- walker.heffron.1@13709.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1710501242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 N HIGHWAY 17 STE 220",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294668245",
"telephone_number": "843-853-3474",
"fax_number": "843-853-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFRON",
"first_name": "WALKER",
"middle_name": "MACKENZIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-01",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "84209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.