Individual provider Active NPI

John Clinton Walker, MD

  • Orthopaedic Hand Surgery Physician
  • Overland Park, KS
National Provider Identifier
1750478731
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
04-33052 Issued in KS
Practice address
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231
Phone
(913) 381-5225
Fax
(913) 901-0186
NPI assigned
Oct 9, 2006
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 2008009826 MO
Orthopaedic Hand Surgery Physician 207XS0106X 04-33052 KS Primary

Addresses

Primary practice location

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231

Mailing address

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231
Phone (913) 381-5225

Other identifiers 5

IdentifierTypeStateIssuer
P00639954OtherKSRR MEDICARE
P00666804OtherMORR MEDICARE
04-33052OtherKSSTATE LICENSE
2008009826OtherMOSTATE LICENSE
40230013OtherKSBCBS

Other names 1

  • J Clinton Walker Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jclinton.walker@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081017000576 KS Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 9032201744 Reassigns benefits to 1 organization
I20081017000588 MO Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 9032201744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Medical Group of KC PAGroup PAC ID 7618144056, 27 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358
Phone (913) 381-5225

1800 E Meyer Boulevard
Kansas City, MO 64132-1142
Phone (816) 523-0100

2737 NE McBaine Dr
Suite a
Lees Summit, MO 64064-7880
Phone (913) 381-5225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Medical Group of KC, PA CurrentSince Jan 1, 2012 Accepting new patients
Signature Medical Group of KC, P.a. CurrentSince Jan 1, 2012 Accepting new patients
Midwest Trauma Services, LLC Past Accepting new patients

Locations

10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100

2737 NE McBaine Dr
Ste A
Lees Summit, MO 64064
Phone (913) 381-5225

Interoperability endpoints

  • Direct secure messaging: clinton.walker@kcbj.eclinicaldirectplus.com
  • Direct secure messaging: jclinton.walker@direct.medfusion.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.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1750478731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111231",
            "telephone_number": "913-381-5225",
            "fax_number": "913-901-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111231",
            "telephone_number": "913-381-5225",
            "fax_number": "913-901-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "middle_name": "CLINTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MO",
            "license": "2008009826",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "KS",
            "license": "04-33052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00639954",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00666804",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "04-33052",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2008009826",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40230013",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jclinton.walker@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "10701 Nall Ave",
            "address_2": "Suite 200",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "J CLINTON",
            "last_name": "WALKER",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.