Individual provider Active NPI

Robert W Walker, MD

  • Internal Medicine Physician
  • Wytheville, VA
National Provider Identifier
1902877137
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29182 Issued in NC
Practice address
600 W Ridge Rd
Wytheville, VA 24382-1044
Phone
(276) 228-0200
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101039796 VA
Internal Medicine Physician 207R00000X 40392 TN
Hospitalist Physician 208M00000X 40392 TN
Internal Medicine Physician 207R00000X 29182 NC Primary

Addresses

Primary practice location

600 W Ridge Rd
Wytheville, VA 24382-1044

Mailing address

600 West Ridge Road
Wytheville, VA 24382-4998
Phone (276) 228-0200

Other identifiers 2

IdentifierTypeStateIssuer
7100036670MedicaidKY
3819129MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051007000251 VA Practitioner - Internal Medicine 9638194806
I20060930000027 TN Practitioner - Internal Medicine 9638194806 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29182NCMDInternal Medicine Physician
40392TNMDInternal Medicine Physician
0101039796VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Aug 26, 2014 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Aug 26, 2014 Accepting new patients
Bristol Consultants PC Internal Medicine PastSince May 24, 2005 Accepting new patients
Johnston Memorial Hospital, Inc Past Accepting new patients
Inpatient Consultants of Tennessee, P.C. Internal Medicine Past Accepting new patients
Wellmont Physician Services Inc Internal Medicine Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 350W
Bristol, TN 37620
Phone (423) 844-4240

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1902877137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WEST RIDGE ROAD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824998",
            "telephone_number": "276-228-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821044",
            "telephone_number": "276-228-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101039796",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "40392",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "40392",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "29182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100036670",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3819129",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.