DR. PAUL J WALKER SR. (NPI# 1104048727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104048727 |
| Entity Type | Individual |
| Full Name | DR. PAUL J WALKER SR. |
| Credential | PSY.D. |
| Practice Address |
5787 St Route 63 Lebanon OH 45036 |
| Mailing Address |
9542 Country Path Trail Miamisburg OH 45342 |
| Practice Telephone | 5139323388 |
| Practice Fax Number | 5139342901 |
| Mailing Telephone | 9372913882 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5086 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154575744 | Paul Walker | Pharmacist | 5100 Old Birmingham Hwy Apt 1604, Tuscaloosa, AL 35404-4664 | 2008-11-09 |
| 1205038098 | Paul Lexington Walker | Podiatrist | 512 W Oakland Park Blvd, Wilton Manors, FL 33311-1726 | 2007-06-04 |
| 1538377395 | Paul E Walker | Dentist | 900 E Prospect Ave Ste 800, Ponca City, OK 74601-1600 | 2007-05-17 |
| 1356438097 | Paul Lance Walker | Family Medicine | 1810 White Cir, Suite 155, Marietta, GA 30066-5835 | 2006-10-06 |
| 1437197621 | Paul Richard Walker | Pharmacist | 4101 South 4th Street Trfwy, Leavenworth, KS 66048 | 2006-06-02 |
| 1609837053 | Paul C. Walker | Family Medicine | 643 5th Ave W, Hendersonville, NC 28739 | 2006-03-28 |
| 1477527661 | Paul B Walker | Social Worker | 7355 E Peakview Ave, Englewood, CO 80111 | 2006-02-14 |
| 1316910631 | Paul Walker | Pathology | 2901 W Coast Hwy, Suite 200, Newport Beach, CA 92663-4023 | 2006-02-08 |
| 1285627497 | Paul A Walker | Otolaryngology | 1747 Baptist Clay Dr, Suite 230, Fleming Island, FL 32003-8502 | 2005-08-24 |
| 1417574427 | Paul Gregory Walker Jr. | Physician Assistant | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-06-25 |
| Street Address |
5787 ST ROUTE 63 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821294 | William D. Campagna | Psychologist | 1220 State Route 31, Ste. 19, Lebanon, NJ 08833 | 2018-05-15 |
| 1881196376 | Allied Health Professionals | Psychologist | 3056 Horn Springs Road, Lebanon, TX 37087-1953 | 2018-03-01 |
| 1972904894 | Mujgan Inciler | Psychologist | 5787 State Route 63, C/o Wci, Lebanon, OH 45036 | 2014-09-10 |
| 1871992578 | Samantha Robin Wertheimer | Psychologist | 1202 Ash Lane, Lebanon, PA 17042-9626 | 2014-08-19 |
| 1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
| 1235274275 | John Tilghman Hower | Psychologist | 195 N Cornwall Rd E, Lebanon, PA 17042-9014 | 2007-02-20 |
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1578645974 | Georgette Ventura | Psychologist | 511 Noble St, Lebanon, PA 17042-6322 | 2006-10-19 |
| 1205847837 | Diane P Hoover | Psychologist | 1700 South Lincoln Ave (690), Lebanon, PA 17042 | 2006-08-10 |
| 1528098456 | Moira P Ripley | Psychologist | 1 Court St, Suite 330, Lebanon, NH 03766-1358 | 2006-07-04 |
| Find all providers in LEBANON | ||||
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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.