Calvin Cecil Walker, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

07177R Issued in LA

Practice address

3418 Medical Park Dr
Suite 24
Monroe, LA 71203-2376

Phone

(318) 323-0700

Fax

(318) 323-9983

NPI assigned

Apr 14, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in LA

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

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710941737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 MEDICAL PARK DR",
            "address_2": "SUITE 24",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032376",
            "telephone_number": "318-323-0700",
            "fax_number": "318-323-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 MEDICAL PARK DR",
            "address_2": "SUITE 24",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032376",
            "telephone_number": "318-323-0700",
            "fax_number": "318-323-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CALVIN",
        "middle_name": "CECIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "07177R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1363341",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid # 17247)
• Walgreen Co (Walgreens #17171)
• Walgreen Co (Walgreens #21536)
• Walgreen Co. (Walgreens #21473)
• Alexis Walker
• Casey Leigh Walker, RHIT, CTR
• Christopher Walker
• Cynthia Walker
• Cynthia Marie Walker, ED.D
• Donna Ann Walker, MD

• Psychiatry Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.