Active NPI
Robert W Walker, MD
- Internal Medicine Physician
- Wytheville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100036670 | Medicaid | KY | |
| 3819129 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29182 | NC | MD | Internal Medicine Physician |
| 40392 | TN | MD | Internal Medicine Physician |
| 0101039796 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Bristol Consultants PC | Internal Medicine | Past | 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.
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- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1770528036
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1497704050
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.