DR. JONATHAN WALKER (NPI# 1104185396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104185396 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN WALKER |
| Credential | M.D. |
| Practice Address |
979 E 3rd St Ste C-925 Chattanooga TN 37403 |
| Mailing Address |
979 E 3rd St Ste C-925 Chattanooga TN 37403-2136 |
| Practice Telephone | 4237785910 |
| Practice Fax Number | 4237785915 |
| Mailing Telephone | 4237785910 |
| Mailing Fax Number | 4237785915 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | R3115 | KY | Allopathic & Osteopathic Physicians |
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
59105 | TN | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
DR.0058591 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13123 E 16th Ave # B-463, Aurora, CO 80045 | 7207776847 | |
| 800 Rose St, Ms 283, Lexington, KY 405360293 | 8593236679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097208 | Jonathan Eli Walker | Acupuncturist | 3622 Lyckan Pkwy Ste 6004, Durham, NC 27707-2539 | 2020-09-11 |
| 1750685251 | Jonathan Dean Walker | Dentist | 16008 Meridian E, Puyallup, WA 98375-9605 | 2010-12-27 |
| 1205017308 | Jonathan Bayless Walker | Emergency Medicine | 3317 S Higley Rd Ste 114-405, Gilbert, AZ 85297-5459 | 2007-11-16 |
| 1801092218 | Jonathan Ray Walker | Chiropractor | 27 Se 11th Ave, Ocala, FL 34471-2332 | 2007-06-22 |
| 1033298534 | Jonathan Treat Walker | Psychiatry & Neurology | 4710 Bethesda Ave, Suite 1303, Bethesda, MD 20814-5213 | 2006-11-03 |
| 1952309031 | Jonathan Edward Walker | Psychiatry & Neurology | 12870 Hillcrest Rd, Suite 201, Dallas, TX 75230-1531 | 2005-07-12 |
| 1992332613 | Jonathan Robert Walker | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-03-24 |
| 1508417114 | Jonathan Walton Walker | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2019-09-25 |
| 1962969170 | Jonathan D Walker | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-02-24 |
| 1972973816 | Jonathan Walker | Physician Assistant | 181 W Meadow Dr, Ste 400, Vail, CO 81657-5242 | 2015-10-05 |
| Street Address |
979 E 3RD ST STE C-925 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263254 | Henry Tobechi Okafor | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2009-05-19 |
| 1356995831 | Lauren Collins Brakebill | Nurse Practitioner | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2019-08-01 |
| 1629564661 | Amber Talley | Nurse Practitioner | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2018-07-02 |
| 1649537093 | Jessica Noelle Lange | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403 | 2012-04-23 |
| 1285945253 | Benjamin Tracy Waldorf | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849849 | Daniel B Herz | Urology | 979 E 3rd St, Suite C-925, Chattanooga, TN 37403-2136 | 2005-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958775 | Blue Ridge Medical Management Corporation | Urology | 408 N State of Franklin Rd Ste 31f, Johnson City, TN 37604-6088 | 2018-07-11 |
| 1578689253 | Johnson City Urological Clinic, P.C. | Urology | 2340 Knob Creek Road, Suite 720, Johnson City, TN 37604-2977 | 2007-03-22 |
| 1750449484 | Herbert Victor Braren | Urology | 329 Twenty-first Av N, Suite 2, Nashville, TN 37203-1855 | 2006-12-05 |
| 1124378484 | Nashville Pediatric Urology, PC | Urology | 330 23rd Ave N, Suite 602, Nashville, TN 37203-1534 | 2012-09-14 |
| 1649536350 | Mary Elaine Killian | Urology | 51 N Dunlap St, Memphis, TN 38105-4625 | 2012-04-06 |
| 1417252594 | Mid-state Urology PC | Urology | 329 21st Ave N, Suite 2, Nashville, TN 37203-1839 | 2011-01-20 |
| 1609192905 | Rhys Wingart Irvine | Urology | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2010-04-12 |
| 1760669808 | Joseph Murphy Gleason | Urology | 51 N Dunlap St, Suite 100, Memphis, TN 38105-4625 | 2008-01-30 |
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.