TIMOTHY JAMES WALKER MD NPI 1124119730

NPI Information

NPI: 1124119730
Provider Name: TIMOTHY JAMES WALKER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4102 PINION DR
USAF ACADEMY, CO
ZIP 80840
Phone: (719) 333-5962
Get Directions

Timothy James Walker, MD is a family medicine in Usaf Academy, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Timothy James Walker, MD NPI is 1124119730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4102 PINION DR
USAF ACADEMY, CO
ZIP 80840-502
Phone: (719) 333-5962

The NPI 1124119730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 6/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	M5113	IDAHO	No
2	207Q00000X	Family Medicine	MD00024276	WASHINGTON	No
3	207Q00000X	Family Medicine	46667	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A02809	MEDICARE UPIN	IDAHO
2	80094285	MEDICARE PIN
3	1014521	MEDICAID	WASHINGTON
4	002386500	OTHER	IDAHO	HEALTHY CONNECTIONS
5	AB11405	MEDICARE PIN	WASHINGTON
6	1118875	OTHER	IDAHO	DMERC
7	000010000368	OTHER	IDAHO	REGENCE BLUE SHIELD
8	8915081	OTHER	WASHINGTON	CRIME VICTIMS COMPENS
9	31251	OTHER	WASHINGTON	WA LABOR & INDUSTRY
10	DF615	OTHER	IDAHO	BLUE CROSS
11	002386500	MEDICAID	IDAHO
12	1118875	MEDICARE PIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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