Individual provider Active NPI

Michael Walker

  • Family Medicine Physician
  • Willow Street, PA
National Provider Identifier
1770901415
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD462293 Issued in PA
Practice address
222 Willow Valley Lakes Dr Ste 1900
Willow Street, PA 17584-9674
Phone
(717) 517-5350
Fax
(717) 517-5351
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MD462293 PA Primary

Addresses

Primary practice location

222 Willow Valley Lakes Dr Ste 1900
Willow Street, PA 17584-9674

Mailing address

222 Willow Valley Lakes Dr Ste 1900
Willow Street, PA 17584-9674
Phone (717) 517-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171010002007 PA Practitioner - Family Practice 2264715994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

51 Peters Rd
Suite 101
Lititz, PA 17543-7685
Phone (717) 627-7687

Hospital & facility affiliations

  • Penn Medicine Home Health Lancaster General Health Home health agency, Lancaster, PA, CCN 397013
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Glen at Willow Valley Nursing home, Lancaster, PA, CCN 395956

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

51 Peters Rd
Ste 101
Lititz, PA 17543
Phone (717) 381-5246

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

222 Willow Valley Lakes Dr
Ste 1900
Willow Street, PA 17584
Phone (717) 464-9430

Interoperability endpoints

  • Direct secure messaging: mwalker171271@direct-lghealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770901415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WILLOW VALLEY LAKES DR STE 1900",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849674",
            "telephone_number": "717-517-5350",
            "fax_number": "717-517-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WILLOW VALLEY LAKES DR STE 1900",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849674",
            "telephone_number": "717-517-5350",
            "fax_number": "717-517-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD462293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Street, PA

Sources for this page

Verify at the official NPI Registry.