Active NPI
Diane Walker, MD
- Emergency Medicine Physician
- Cross City, FL
National Provider Identifier
1790880326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0047108
- Practice address
- 149 NE 241 St
Cross City, FL 32628-3305 - Phone
- (352) 498-1360
- Fax
- (352) 498-1359
- NPI assigned
- Sep 14, 2006
- Last updated
- May 6, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0047108 | FL | Primary |
Addresses
Primary practice location
149 NE 241 St
Cross City, FL 32628-3305
Mailing address
23708 NW 194TH Dr
High Springs, FL 32643-7022
Phone (386) 454-2270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00096973 | Other | FL | RAILROAD MCR |
| 036568800 | Medicaid | FL | |
| 04488 | Other | FL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0047108 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes of Florida Inc | Emergency Medicine | Past | Accepting new patients |
| Gainesville Emergency Medical Associates PA | Emergency Medicine | Past | Accepting new patients |
| Nes of Florida Inc | Emergency Medicine | Past | Accepting new patients |
| Gainesville Urgent Care Associates, PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1770863177
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- Emergency Medicine Physician
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- NPI 1063407070
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- Emergency Medicine Physician
- Ocala, FL
- NPI 1598707689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1790880326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23708 NW 194TH DR",
"city": "HIGH SPRINGS",
"state": "FL",
"postal_code": "326437022",
"telephone_number": "386-454-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 NE 241 ST",
"city": "CROSS CITY",
"state": "FL",
"postal_code": "326283305",
"telephone_number": "352-498-1360",
"fax_number": "352-498-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DIANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0047108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR",
"identifier": "P00096973",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036568800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04488",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cross City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.