Individual provider Active NPI

Douglas C Walker, DO

  • Family Medicine Physician
  • Garland, UT
National Provider Identifier
1821095142
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
359239-1204 Issued in UT
Practice address
300 W 1440 S
Garland, UT 84312
Phone
(435) 257-3684
Fax
(435) 257-7554
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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 359239-1204 UT Primary

Addresses

Primary practice location

300 W 1440 S
Garland, UT 84312

Mailing address

PO Box 278
Tremonton, UT 84337-0278
Phone (435) 257-3684

Other identifiers 1

IdentifierTypeStateIssuer
D2581MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20031113000463 UT Practitioner - Family Practice 9638082985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas C. Walker D.O., P.C.Group PAC ID 8729991070, 2 clinicians

Practice addresses (Care Compare)

300 W 1400
Garland, UT 84312-9100
Phone (435) 257-3684

Hospital & facility affiliations

  • Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303
  • Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
359239-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C. Walker D.O., P.C. Family Medicine CurrentSince Apr 1, 2000 Accepting new patients
Bear River Medical Arts PC Family Medicine CurrentSince Sep 15, 2003 Accepting new patients

Locations

300 W 1400 S
Garland, UT 84312
Phone (435) 257-2469

Interoperability endpoints

  • Direct secure messaging: douglaswalker@dcwdopc.allscriptsdirect.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 3

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1821095142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843370278",
            "telephone_number": "435-257-3684",
            "fax_number": "435-257-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 1440 S",
            "city": "GARLAND",
            "state": "UT",
            "postal_code": "84312",
            "telephone_number": "435-257-3684",
            "fax_number": "435-257-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "359239-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2581",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, UT

Sources for this page

Verify at the official NPI Registry.