Frederic Barber Walker IV, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17313 Issued in CO

Practice address

659 Larkspur LN
Grand Junction, CO 81506-8319

Phone

(970) 245-7533

NPI assigned

Apr 26, 2006

Last updated

Jul 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: frederic.walker.1@17164.direct.athenahealth.com

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1891751988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 LARKSPUR LN",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068319",
            "telephone_number": "970-245-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 LARKSPUR LN",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068319",
            "telephone_number": "970-245-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "FREDERIC",
        "middle_name": "BARBER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "17313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01173137",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #9769)
• Walker Drug Comp of Colorado (Walker Drug)
• Walker Drug Company of Colorado (Walker Discount Medical Supply)
• Anna Lee Walker, LPC, LAC
• Avrielle Walker
• Susan Walker, NP
• Jamie Wall, NP
• Erin Wallace
• Michael Wallendorff
• Edyta Agnieszka Wallick

• Internal Medicine Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.