DR. RONALD RAYMOND WALKER (NPI# 1134226590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134226590 |
Entity Type | Individual |
Full Name | DR. RONALD RAYMOND WALKER |
Credential | M.D. |
Practice Address |
16250 Main Street Suite A Lower Lake CA 95457-0713 |
Mailing Address |
Po Box 713 Lower Lake CA 95457-0713 |
Practice Telephone | 7079953011 |
Practice Fax Number | 7079953019 |
Mailing Telephone | 7079953011 |
Mailing Fax Number | 7079953019 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | G51470 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD NUMBER | 00G514700 | 01 |
CA | 00G514700 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356749311 | Ronald Walker Jr. | Dentist | 1095 Herndon Ave # 102, Clovis, CA 93612-0504 | 2014-12-08 |
1952461857 | Ronald Dean Walker | Dentist | 7400 N Oracle Rd Suite 331, Tucson, AZ 85704 | 2006-12-11 |
1720172513 | Ronald Lynn Walker | Dentist | Vamc 17273 St Rt 104, Chillicothe, OH 45601 | 2006-10-03 |
1609837277 | Ronald K Walker | Dentist | 4350 E Ray Rd, Suite 115, Phoenix, AZ 85044-4703 | 2006-03-31 |
1649763392 | Ronald Walker | Case Manager/Care Coordinator | 5162 Broadway Ave, Cleveland, OH 44127-1571 | 2018-06-07 |
1154701274 | Ronald Ray Walker Jr. | Social Worker | 2415 Morganton Blvd Sw, Lenoir, NC 28645 | 2015-06-03 |
1700136421 | Ronald James Walker IIi | Dentist | 203 Clearfield Ave, Punxsutawney, PA 15767-2303 | 2012-09-11 |
1336340009 | Ronald J Walker | Otolaryngology | 3660 Vista Avenue, Suite 312, St. Louis, MO 63110 | 2007-05-30 |
1467559328 | Ronald Clark Walker | Nuclear Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-20 |
Street Address |
16250 MAIN STREET SUITE A |
City | LOWER LAKE |
State | CA |
Zip Code | 95457-0713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275813214 | Sydney Adolfo Berro | Marriage & Family Therapist | 16170 Main Street, Lower Lake, CA 95457 | 2011-08-23 |
1457503815 | Lake County Office of Education Safe Schools | Local Education Agency (LEA) | 9707 Winchester Street, Lower Lake, CA 95457 | 2008-10-16 |
1801063870 | Adventist Health Home Care Services of Redbud | Home Health | 9245 Hwy 53, Lower Lake, CA 95457 | 2008-05-09 |
1538386180 | Dennis L. Day | Chiropractor | 16205 Main Street, Lower Lake, CA 95457 | 2007-04-18 |
1821134271 | Terra Renne Wilson | Counselor | 9345 Winchester, Lower Lake, CA 95457 | 2007-01-30 |
1114086238 | Tim Sherrell | Social Worker | 9667 Highway 29, Suite 200, Lower Lake, CA 95457 | 2006-12-06 |
1083729420 | Dorothy L. Moyer | Psychologist | 9667 Hwy 29, Rural Post Office Will Not Deliver, Lower Lake, CA 95457 | 2006-08-19 |
1952837544 | Richard Hoffman | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457 | 2017-05-03 |
1407181225 | Lake County Community Action Agency | Community/Behavioral Health | 9345 Winchester, Lower Lake, CA 95457 | 2009-10-13 |
1841525144 | Lake County Community Action Agency | Community/Behavioral Health | 9345 Winchester, Lower Lake, CA 95457 | 2009-10-05 |
Find all providers in zip 95457 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Find all providers with the same taxonomy |
City | LOWER LAKE |
Zip Code | 95457 |
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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.