Charles G Walker, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

151536 Issued in MA

Practice address

15 Vaughan St
Lakeville, MA 02347-1638

Phone

(774) 213-5105

Fax

(774) 213-5105

NPI assigned

Sep 25, 2006

Last updated

Sep 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Sturdy Health, Inc.

  • Internal Medicine Physician
  • Mansfield, MA
  • NPI 1871515874

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1801996905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VAUGHAN ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471638",
            "telephone_number": "774-213-5105",
            "fax_number": "774-213-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VAUGHAN ST",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471638",
            "telephone_number": "774-213-5105",
            "fax_number": "774-213-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "151536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3160530",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Tremblett
• True North Psychiatry Inc
• Lauren Louise Urbani, M.A., BCBA, LABA
• Wagner PT & Performance LLC
• Walgreen Co (Walgreens #10269)
• Ruth Eveline Ward, EMT
• Hilary A Welland, M.D.
• Rodney Wilson
• Ziqin Wong
• Natallia Yaromenka, MD

• Family Medicine Physician in Lakeville, MA
• Providers in Lakeville, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.