BRENT E WALKER (NPI# 1528069119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528069119 |
| Entity Type | Individual |
| Full Name | BRENT E WALKER |
| Credential | PA-C |
| Practice Address |
5301 E Grant Rd Orthopaedic Bldg, 1st Floor Tucson AZ 85712-2805 |
| Mailing Address |
Po Box 31630 Attn: Credentialing Department Tucson AZ 85751-1630 |
| Practice Telephone | 5207846200 |
| Practice Fax Number | 5207846109 |
| Mailing Telephone | 5207846200 |
| Mailing Fax Number | 5207846109 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1400 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1400 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1400 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 175514 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887971 | Brent E. Walker | Ophthalmology | 1827 W 38th St, Erie, PA 16508-2168 | 2005-10-28 |
| 1629084793 | Brent W Walker | Family Medicine | 9101 N Central Expy, Suite 300, Dallas, TX 75231-5927 | 2006-07-31 |
| 1952398687 | Brent L Walker | Anesthesiology | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2005-09-27 |
| Street Address |
5301 E GRANT RD ORTHOPAEDIC BLDG, 1ST FLOOR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910157 | Coleman Wade Davidson II | Obstetrics & Gynecology | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2005-05-23 |
| 1134720501 | Rosalee Valdivia Blair | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-11-03 |
| 1811509383 | Julia Jennifer Ni | Registered Nurse | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-08-17 |
| 1295345759 | Myriam Raquel Hanna | Physical Therapist | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-08-08 |
| 1104443134 | Carlos Venancio Bejarano | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-25 |
| 1326664566 | Michelle Skrzelowski | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-06-23 |
| 1295351591 | Chloe Evelyn Williams | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2874 | 2020-06-23 |
| 1790301901 | Raveena Kaur Brar | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-23 |
| 1043835333 | Danielle Monique Anderson | Pharmacist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-11 |
| 1336764927 | Brandon Pike | Student in an Organized Health Care Education/Training Program | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
| 1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
| 1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
| 1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
| 1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
| 1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
| 1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
| 1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| Find all providers in TUCSON | ||||
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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.