NPIMap

Individual provider Active NPI

Randy Dean Walker, MD

  • Family Medicine Physician
  • De Queen, AR
National Provider Identifier
1730185752
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3032 Issued in 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
Last updated
Jan 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3032 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000693 AR Practitioner - Family Practice 3779681499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, PLLCGroup PAC ID 0345468724, 9 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions38
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Randy D. Walker, M.D., P.L.L.C. Family Medicine CurrentSince Aug 10, 2001 Accepting new patients
Crossett Health Foundation Past Accepting new patients
Crossett Health Foundation Past Accepting new patients

Locations

1014 W Collin Raye Dr
De Queen, AR 71832
Phone (580) 286-2947

1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111

221 Main Ave
Dierks, AR 71833
Phone (870) 584-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA
  • Direct secure messaging: randy.walker@rdw.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1730185752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718320740",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718323801",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "RANDY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

Sources for this page

Verify at the official NPI Registry.