Individual provider Active NPI

Edwin Walker, MD, MSPH

  • Child & Adolescent Psychiatry Physician
  • Newark, DE
National Provider Identifier
1861492134
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
22890 Issued in KY
Practice address
260 Chapman Rd Ste 205C
Newark, DE 19702-5449
Phone
(302) 533-7582
Fax
(302) 533-7584
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 22890 KY Primary

Addresses

Primary practice location

260 Chapman Rd Ste 205C
Newark, DE 19702-5449

Mailing address

260 Chapman Rd Ste 205C
Newark, DE 19702-5449
Phone (302) 533-7582

Other practice location 1

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone (651) 628-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110608000203 OH Practitioner - Psychiatry 5092754226 Reassigns benefits to 3 organizations
I20130613000759 NC Practitioner - Psychiatry 5092754226 Reassigns benefits to 3 organizations
I20150127001952 WV Practitioner - Psychiatry 5092754226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22890KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc. CurrentSince Mar 23, 2024 Accepting new patients
Family & Community Services Inc CurrentSince Mar 30, 2022 Accepting new patients
Cindy Elko PSYD LLC CurrentSince Jun 26, 2019 Accepting new patients
Recovery Services of Northwest Ohio, Inc CurrentSince May 30, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
Compass Community Health CurrentSince Apr 1, 2021 Accepting new patients
Compass Community Health Current Accepting new patients
Family & Community Services, Inc CurrentSince Mar 30, 2022 Accepting new patients
Tri County Community Health Council Inc CurrentSince Mar 23, 2024 Accepting new patients
Tri County Community Health Council Inc Current Accepting new patients
Compass Community Health CurrentSince Apr 1, 2021 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Nov 20, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Merclan PLLC Past Accepting new patients

Locations

260 Chapman Rd
Ste 205C
Newark, DE 19702
Phone (302) 533-7532

113B Hertford County High Rd
Ahoskie, NC 27910
Phone (252) 209-3375

3331 Easy St
Dunn, NC 28334

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

621 S Main St
Ste 200
Reidsville, NC 27320
Phone (336) 349-4454

511 Perry St
Defiance, OH 43512
Phone (419) 782-4933

118 E Clinton St
Napoleon, OH 43545
Phone (419) 599-7040

1634 11th St
Portsmouth, OH 45662
Phone (740) 355-7102

1656 Coles Blvd
#A
Portsmouth, OH 45662
Phone (740) 355-7102

150 E Market St
Warren, OH 44481
Phone (330) 394-6244

318 Mahoning Ave NW
Warren, OH 44483
Phone (330) 394-6342

Interoperability endpoints

  • Direct secure messaging: edwin.walker.p1@direct.thecounselingcenter.nextgenshare.com
  • Direct secure messaging: ewalker@rsnwo.gwaydirect.com
  • FHIR API: https://api.qualifacts.org/api/fhir/rsnwo/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1861492134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD STE 205C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025449",
            "telephone_number": "302-533-7582",
            "fax_number": "302-533-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD STE 205C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025449",
            "telephone_number": "302-533-7582",
            "fax_number": "302-533-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Silver Lake Rd NW",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551121786",
            "country_code": "US",
            "telephone_number": "651-628-9566",
            "fax_number": "651-628-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EDWIN",
        "credential": "MD, MSPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "22890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.