DR. SEAN THOMAS WALKER M.D. NPI 1568758878

NPI Information

NPI: 1568758878
Provider Name: DR. SEAN THOMAS WALKER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RADIOLOGY IMAGING ASSOCIATES PC

PECOS Registration: Yes

Address:
4021 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361
Phone: (303) 761-9190
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DR. Sean Thomas Walker, M.D. is a diagnostic radiology radiology in Scottsbluff, NE with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Sean Thomas Walker, M.D. NPI is 1568758878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

4021 AVENUE B
SCOTTSBLUFF, NE
ZIP 69361-602
Phone: (303) 761-9190
Fax: (720) 874-4462

The NPI 1568758878 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 6/24/2011 and was last updated on 3/17/2018.

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	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		6577	NEBRASKA	No
2	2085R0202X	Radiology	Diagnostic Radiology	57947	COLORADO	No
3	2085R0202X	Radiology	Diagnostic Radiology	04-39693	KANSAS	No
4	390200000X	Student in an Organized Health Care Education/Training Program			NEW MEXICO	No
5	2085R0202X	Radiology	Diagnostic Radiology	27792	NEBRASKA	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	$$$$$$$$$03	MEDICAID	NEBRASKA
2	$$$$$$$$$06	MEDICAID	NEBRASKA
3	$$$$$$$$$09	MEDICAID	NEBRASKA
4	$$$$$$$$$10	MEDICAID	NEBRASKA
5	111257098	OTHER	KANSAS	MEDICARE PIN
6	$$$$$$$$$08	MEDICAID	NEBRASKA
7	NA1214114	OTHER	NEBRASKA	MEDICARE PIN
8	$$$$$$$$$05	MEDICAID	NEBRASKA
9	KA3249089	OTHER	KANSAS	MEDICARE PIN
10	$$$$$$$$$04	MEDICAID	NEBRASKA
11	$$$$$$$$$02	MEDICAID	NEBRASKA
12	$$$$$$$$$07	MEDICAID	NEBRASKA
13	1568758878	MEDICAID	COLORADO
14	NA1215112	OTHER	NEBRASKA	MEDICARE PIN
15	561591ZLJ3	OTHER	COLORADO	MEDICARE PIN
16	NA2517093	OTHER	NEBRASKA	MEDICARE PIN
17	561591YQ3L	OTHER	COLORADO	MEDICARE PIN
18	561591YQPG	OTHER	COLORADO	MEDICARE PIN
19	561591YQ33	OTHER	COLORADO	MEDICARE PIN
20	561591YQN9	OTHER	COLORADO	MEDICARE PIN

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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