Randy Dean Walker, MD
Individual provider Active NPI Family Medicine Physician · De Queen, AR
NPI 1730185752 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1730185752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E3032 (AR)
- Practice address
- 1553 W Collin Raye Dr
De Queen, AR 71832-3801 - Phone
- (870) 584-3000
- Fax
- (870) 584-3003
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Randy D Walker, MD, PLLC
Practice addresses (Care Compare)
1553 W Collin Raye Dr
De Queen, AR 71832-3801
Phone (870) 584-3000
PO Box
Suite 727
De Queen, AR 71832-0727
Post Office Box
Suite 740
Dequeen, AR 71832-0740
Hospital & facility affiliations
- Amedisys Home Health
- Little River Memorial Hospital Home Health
- Elite Home Health
- Elite Home Health
- Gentiva
- Little River Memorial Hospital
- Howard Memorial Hospital
- Sevier County Medical Center
- Christus St Michael Health System
- Mena Regional Health System
- Bear Creek Healthcare LLC
- Little River Nursing & Rehab
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 38 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070604000693 | AR | Practitioner - Family Practice | 3779681499 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3032 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randy D. Walker, M.D., P.L.L.C. | Family Medicine | Current |
Accepting new patients |
| Crossett Health Foundation | Past | Accepting new patients | |
| Crossett Health Foundation | Past | Accepting new patients |
Locations
1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111
1014 W Collin Raye Dr
De Queen, AR 71832
Phone (580) 286-2947
221 Main Ave
Dierks, AR 71833
Phone (870) 584-3000
Interoperability endpoints
- randy.walker@rdw.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FEFHCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3032 | AR | Yes |
Addresses
Primary practice location
1553 W Collin Raye Dr
De Queen, AR 71832-3801
Mailing address
PO Box 740
De Queen, AR 71832-0740
Phone (870) 584-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145640002 | Medicaid | AR | |
| 145639001 | Medicaid | AR |
Other providers in De Queen, AR
- Superintendent of de Queen High School
- Cory Leigh Tatom
- Thomas E. B. Jones, M.D.
- Gabrielle Rose Thrailkill
- Transitions Counseling Clinic PLC
- Walmart Inc.
- Amy Elizabeth White
- Candace Michelle Whitley
- Reagan Wilkerson
- Heather Williams
All providers in De Queen, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.