Active NPI
Ezelle Harry Walker, MD
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1992720254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35045566
- Practice address
- 2816 E 116TH St
Metrohealth Buckeye Health Center
Cleveland, OH 44120-2111 - Phone
- (216) 957-1703
- NPI assigned
- Jul 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35045566 | OH | Primary |
Addresses
Primary practice location
2816 E 116TH St
Metrohealth Buckeye Health Center
Cleveland, OH 44120-2111
Mailing address
2816 E 116TH St
Metrohealth Buckeye Health Center
Cleveland, OH 44120-2111
Phone (216) 957-1703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0576158 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1992720254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 E 116TH ST",
"address_2": "METROHEALTH BUCKEYE HEALTH CENTER",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441202111",
"telephone_number": "216-957-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 E 116TH ST",
"address_2": "METROHEALTH BUCKEYE HEALTH CENTER",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441202111",
"telephone_number": "216-957-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "EZELLE",
"middle_name": "HARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35045566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0576158",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.