JERRY W WALKER (NPI# 1053641126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053641126 |
| Entity Type | Individual |
| Full Name | JERRY W WALKER |
| Credential | DDS |
| Practice Address |
6060 N Bay Ridge Ave Milwaukee WI 53217-4663 |
| Practice Telephone | 4143328255 |
| Mailing Telephone | 4143328255 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
4001754-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598319113 | Jerry Elton Walker Jr. | Specialist/Technologist | 1008 Absecon Blvd, Atlantic City, NJ 08401-2536 | 2019-07-31 |
| 1700984440 | Jerry L Walker | Dentist | 4303 Bridgeport Way W, University Place, WA 98466-4334 | 2006-09-20 |
| 1861461485 | Jerry Don Walker | Chiropractor | 105 Boland St, Fort Worth, TX 76107-1221 | 2006-03-16 |
| 1154310373 | Jerry H Walker | Dentist | 390 South 3rd West, Soda Springs, ID 83276 | 2005-10-20 |
| 1467066316 | Jerry Keith Walker | Dentist | 1314 N Yarbrough Dr, El Paso, TX 79925-7802 | 2020-09-08 |
| 1770851933 | Jerry Vanzant Walker IIi | Psychologist | 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2011-12-02 |
| 1306093067 | Jerry Dean Walker | Dentist | 201 Dental Science S, College of Dentistry, Iowa City, IA 52242-1001 | 2008-08-25 |
| 1649238866 | Jerry D Walker Jr. | Internal Medicine | 30 N 1900 E, Room 4a100 Som, Salt Lake City, UT 84132 | 2006-05-04 |
| 1699766089 | Jerry W Walker | Counselor | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-03 |
| Street Address |
6060 N BAY RIDGE AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53217-4663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912143439 | David Joseph Kachelmeyer | Dentist | 1331 W Birch Ct, Milwaukee, WI 53209-5118 | 2009-01-06 |
| 1710061080 | David M Lubar | Dentist | 555 W Brown Deer Rd, Suite 210, Milwaukee, WI 53217-1619 | 2006-10-24 |
| 1104936681 | Anthony Joseph Ziebert | Dentist | 735 N Water St, Ste 826, Milwaukee, WI 53202 | 2006-08-30 |
| 1629084165 | Sadanand Manoli | Dentist | 1559 West Greenfield Ave, Milwaukee, WI 53204 | 2006-08-01 |
| 1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
| 1033563606 | Jack Michael Keesler | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2016-04-20 |
| 1093171555 | Hongseok An | Dentist | 1801 W Wisconsin Ave, Faculty Practice, Milwaukee, WI 53233-2186 | 2016-01-13 |
| 1578952735 | Despoina Bompolaki | Dentist | 1801 W Wisconsin Ave, Room 366, Milwaukee, WI 53233-2186 | 2015-01-12 |
| 1063815975 | Georgios Maroulakos | Dentist | 1801 W Wisconsin Ave, Faculty Practice, Milwaukee, WI 53233-2186 | 2014-10-06 |
| 1356597488 | Manlio Zuniga | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2008-08-08 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.