SOMMER SHURAE WALKER (NPI# 1275048480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275048480 |
| Entity Type | Individual |
| Full Name | SOMMER SHURAE WALKER |
| Credential | PA-C |
| Practice Address |
5315 W 12th St Little Rock AR 72204-1858 |
| Mailing Address |
13887 Cherry Glen Cv Alexander AR 72002-1747 |
| Practice Telephone | 5016640941 |
| Practice Fax Number | 5016663956 |
| Mailing Telephone | 8708269900 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-756 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5315 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628065 | Joe L. Hargrove | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-07 |
| 1447806856 | Rachel Young | Nurse Practitioner | 5315 W 12th St, Little Rock, AR 72204-1858 | 2019-08-12 |
| 1356761696 | Fnu Sibghat Tul Llah | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2014-04-25 |
| 1689096158 | Arkansas Health Group | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2014-01-17 |
| 1851734453 | Valerie Beavers | Nurse Practitioner | 5315 W 12th St, Little Rock, AR 72204-1858 | 2013-04-12 |
| 1932263001 | Tara Lynne Jueschke | Physician Assistant | 5315 W 12th St, Little Rock, AR 72204-1858 | 2006-12-21 |
| 1598788341 | Frances R. Harris | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2006-07-25 |
| 1679567408 | Cardiology and Medicine Clinic P A | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-08 |
| 1083608889 | Anthony M Fletcher | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1326038035 | Douglas A. Clark | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2005-10-25 |
| 1205826187 | Dallas M Bondhus | Physician Assistant | 9600 Baptist Health Dr Ste 320, Little Rock, AR 72205-6322 | 2005-10-24 |
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
| 1033750898 | Susan Brooke Contois | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-10-03 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1083170807 | Caleb Brett Mason | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2019-02-17 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1457815755 | Audra Anne Nosal | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2019-01-31 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on SOMMER SHURAE WALKER.
| 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.