Active NPI
Roger Steven Walker
- Durable Medical Equipment & Medical Supplies
- Bladensburg, MD
National Provider Identifier
1770747677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 12034495
- Practice address
- 5800 Annapolis Rd
414
Bladensburg, MD 20710-2005 - Phone
- (301) 850-1040
- Fax
- (301) 850-1041
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 12034495 | MD | Primary |
Addresses
Primary practice location
5800 Annapolis Rd
414
Bladensburg, MD 20710-2005
Mailing address
2414 Kenton PL
Temple Hills, MD 20748-6811
Phone (301) 850-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016373200 | Medicaid | MD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12034495 | MD | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince Georges Medical Equipment | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Bladensburg, MD
- NPI 1942487491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1770747677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 KENTON PL",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207486811",
"telephone_number": "301-850-1040",
"fax_number": "301-850-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 ANNAPOLIS RD",
"address_2": "414",
"city": "BLADENSBURG",
"state": "MD",
"postal_code": "207102005",
"telephone_number": "301-850-1040",
"fax_number": "301-850-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ROGER",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "12034495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016373200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bladensburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.