Active NPI
Casey Thomas Walk
- Surgery Physician
- Dayton, OH
National Provider Identifier
1962909994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.151239
- Practice address
- 30 E Apple St Ste 1480
Dayton, OH 45409-2939 - Phone
- (937) 208-7240
- Fax
- (937) 208-7242
- NPI assigned
- Apr 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.151239 | OH | Primary |
Addresses
Primary practice location
30 E Apple St Ste 1480
Dayton, OH 45409-2939
Mailing address
1 Wyoming St
Dayton, OH 45409-2722
Other practice location 1
1 Wyoming St Ste 3140
Dayton, OH 45409-2722
Phone (937) 208-2400
Other practice location 2
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 657-0455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.151239 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1962909994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST STE 1480",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-7240",
"fax_number": "937-208-7242"
}
],
"practiceLocations": [
{
"address_1": "1 Wyoming St Ste 3140",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-208-2400",
"fax_number": "937-208-4205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wyoming St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-657-0455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALK",
"first_name": "CASEY",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-06",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.151239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.