Individual provider Active NPI

Lewis Patterson Walker III, MD

  • Cardiovascular Disease Physician
  • Gadsden, AL
National Provider Identifier
1740236595
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00013005 Issued in AL
Practice address
1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone
(256) 492-9924
Fax
(256) 492-9965
NPI assigned
May 25, 2006
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00013005 AL Primary

Addresses

Primary practice location

1102 Goodyear Ave
Gadsden, AL 35903-2008

Mailing address

1102 Goodyear Ave
Gadsden, AL 35903-2008
Phone (256) 492-9924

Other identifiers 1

IdentifierTypeStateIssuer
000029905MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00013005ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC Cardiovascular Disease CurrentSince Sep 22, 2021 Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1102 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-6505

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1740236595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LEWIS",
        "middle_name": "PATTERSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "00013005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000029905",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.