MR. MICHAEL DOUGLAS WALKER (NPI# 1154553212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154553212 |
Entity Type | Individual |
Full Name | MR. MICHAEL DOUGLAS WALKER |
Credential | PA-C |
Practice Address |
19771 Coal Heritage Rd Welch WV 24801-9825 |
Mailing Address |
Po Box 1650 Pineville WV 24874-1650 |
Practice Telephone | 3044366650 |
Mailing Telephone | 3047326735 |
Mailing Fax Number | 3047329218 |
Enumeration Date | 2009-08-21 |
Last Update Date | 2018-05-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001001934 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
113 Main Ave, Pineville, WV 24874 | 3047326611 | |
926 Cook Parkway, Oceana, WV 24874 | 3046828238 | 3046824068 |
114 Main St, Man, WV 256351212 | 3045290019 | |
113 3rd Ave, Gilbert, WV 25635 | 3046645699 | |
205 Howard Ave, Mullens, WV 258821420 | 3042944880 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588272611 | Michael David Walker | Registered Nurse | 140 Jennings Ave Apt 106, Knoxville, TN 37917-7158 | 2020-07-15 |
1699330332 | Michael Walker | Private Vehicle | 5020 Ne 7th St, Ocala, FL 34470-1144 | 2019-05-08 |
1013497023 | Michael Earl Walker | Private Vehicle | 513 E 3rd St, Leland, MS 38756-2803 | 2018-08-19 |
1053806026 | Michael Anthony Walker II | Specialist/Technologist | 10899 Sw 4th St # 523b, Miami, FL 33174-4402 | 2018-06-22 |
1194250225 | Michael Walker | Physical Therapy Assistant | 4801 Ne 13th St, Ocala, FL 34470-2103 | 2017-04-26 |
1083003735 | Michael Walker | Dietitian, Registered | 314 Pleasant Pl, Teaneck, NJ 07666-3230 | 2015-01-19 |
1013318658 | Michael Walker | Specialist/Technologist | 913 Penny Ln, Sycamore, IL 60178-1250 | 2014-09-15 |
1982034625 | Michael Walker | Counselor | 828 Stormy Ln, Jonesboro, GA 30238-5984 | 2013-11-16 |
1902123409 | Michael Walker | Dentist | 5807 92nd St, Lubbock, TX 79424-3630 | 2010-04-23 |
1730328683 | Michael Walker | Community/Behavioral Health | 10825 Emerald Wood Dr, Huntersville, NC 28078-2431 | 2009-02-17 |
Street Address |
19771 COAL HERITAGE RD |
City | WELCH |
State | WV |
Zip Code | 24801-9825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932758885 | Hannah Nicole Growe | Physical Therapist | 19771 Coal Heritage Rd, Welch, WV 24801-9825 | 2019-09-04 |
1679922132 | Jennifer Fain | Nurse Practitioner | 19771 Coal Heritage Rd, Welch, WV 24801-9825 | 2016-06-06 |
1215365028 | Family Healthcare Associates,inc. | Clinic/Center | 19771 Coal Heritage Rd, Welch, WV 24801-9815 | 2013-10-15 |
1972945574 | Jocelyn Bond | Physical Therapist | 19771 Coal Heritage Rd, Welch, WV 24801 | 2013-07-24 |
1134565450 | Family Healthcare Associates Inc | Family Medicine | 19771 Coal Heritage Rd, Welch, WV 24801 | 2013-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
1154929545 | Amber Stacy | Technician | 3057 Maple Acres Road, Bluefield, WV 24801 | 2020-10-16 |
1639625270 | Kelly Beth Belt | Physician Assistant | 454 Mcdowell Street, Welch, WV 24801 | 2016-09-01 |
1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
1417088741 | Mcdowell Professioal Sleep Lab | Specialist/Technologist, Other | Route52 Main Street, Welch, WV 24801 | 2007-03-08 |
1073656641 | Looney Enterprises LLC | Optometrist | 794 Virginia Ave., Welch, WV 24801 | 2007-02-14 |
1124115829 | Rahmet Muzaffer | Pediatrics | 66 Elkins Street, Welch, WV 24801 | 2006-10-06 |
1619920600 | Nichole Maureen Horsford, M.d. | Psychiatry & Neurology | 151 Rt. 52 North, Welch, WV 24801 | 2006-05-18 |
Find all providers in zip 24801 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
1053810846 | Erica Marie Bohlke | Physician Assistant | 1158 Island Blvd, Welch, MN 55089-9540 | 2018-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
Find all providers with the same taxonomy |
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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.