DR. EDGAR ALFRED WALKER JR. (NPI# 1396898177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396898177 |
| Entity Type | Individual |
| Full Name | DR. EDGAR ALFRED WALKER JR. |
| Credential | M.D. |
| Practice Address |
215 N 3rd St Leesburg FL 34748-5105 |
| Mailing Address |
Po Box 491000 Leesburg FL 34749-1000 |
| Practice Telephone | 3523157500 |
| Practice Fax Number | 3523606582 |
| Mailing Telephone | 3523157500 |
| Mailing Fax Number | 3523606582 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME100266 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000252200 | 05 |
| Street Address |
215 N 3RD ST |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568019792 | Catherine Heflin | Case Manager/Care Coordinator | 215 N 3rd St, Leesburg, FL 34748-5105 | 2019-08-22 |
| 1629436282 | Amanda Neil | Registered Nurse | 215 N 3rd St, Leesburg, FL 34748-5105 | 2016-02-10 |
| 1235524067 | Sinead O'hare | Social Worker | 215 N 3rd St, Leesburg, FL 34748-5105 | 2015-03-30 |
| 1659613776 | Lifestream Behavioral Center Inc | Clinic/Center | 215 N 3rd St, Leesburg, FL 34748-5105 | 2013-03-27 |
| 1518256940 | Jessica Lee Beach | Social Worker | 215 N 3rd St, Leesburg, FL 34748-5105 | 2011-04-06 |
| 1518264316 | Cindy Edwards | Counselor | 215 N 3rd St, Leesburg, FL 34748-5105 | 2011-02-15 |
| 1679878599 | Krishniah Ramsetty | Psychiatry & Neurology | 215 N 3rd St, Leesburg, FL 34748-5105 | 2011-01-25 |
| 1487959078 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 215 N 3rd St, Leesburg, FL 34748-5105 | 2011-01-13 |
| 1679892616 | Kristie Johnson | Nurse Practitioner | 215 N 3rd St, Leesburg, FL 34748-5105 | 2010-05-28 |
| 1013232446 | Linda L Silverman | Counselor | 215 N 3rd St, Leesburg, FL 34748-5105 | 2010-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326148024 | Robia A Fields | Psychiatry & Neurology | 104 Dry Mill Rd Sw, Suite 102, Leesburg, VA 20175-2634 | 2006-09-22 |
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| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
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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.