Walker Family Medicine PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3240 Issued in AZ

Legal business name

WALKER FAMILY MEDICINE PLC

Practice address

2391 S Rock House Rd
Portal, AZ 85632-9950

Phone

(520) 766-5000

NPI assigned

Feb 16, 2012

Last updated

Feb 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Walker

Title

Business Manager

Phone

(520) 766-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Walker Family Medicine PLC

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1194907758

  O20080222000388

  Same enrollment

Tax ID family

Walker Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Walker Family Medicine PLC

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1194907758
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Dawn Bennett, FNP-C

  • Family Nurse Practitioner
  • Willcox, AZ
  • NPI 1558329862
  NPD
• Amanda Ann Davis, NP

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1043850795
  NPD
• Frances Weaver Grill, FNP

  • Family Nurse Practitioner
  • Willcox, AZ
  • NPI 1679790174
  NPD
• Julie Anne Hilton, ACNP-BC,FNP-C

  • Acute Care Nurse Practitioner
  • Willcox, AZ
  • NPI 1679721476
  NPD
• Mark M Lessner, M.D.

  • Pediatrics Physician
  • Parker, AZ
  • NPI 1497857999

  Family Medicine

  NPD
• Alma Christina Pando, NP

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1801602941
  NPD
• Dawn Kwader Walker, DO

  • Family Medicine Physician
  • Willcox, AZ
  • NPI 1306895529
  NPD
• Mick Gene Drage, PA-C

  • Physician Assistant
  • Safford, AZ
  • NPI 1710935499
  NPD (past)

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1962775296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431129",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 S ROCK HOUSE RD",
            "city": "PORTAL",
            "state": "AZ",
            "postal_code": "856329950",
            "telephone_number": "520-766-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "520-766-5000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narrow Road Treatment Center LLC

• Family Medicine Physician in Portal, AZ
• Providers in Portal, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.