RODERICK WALKER (NPI# 1568430122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568430122 |
| Entity Type | Individual |
| Full Name | RODERICK WALKER |
| Credential | MD |
| Practice Address |
2050 N Haggerty Rd Suite 100 Canton MI 48187-3795 |
| Practice Telephone | 7349811086 |
| Mailing Telephone | 7349811086 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2011-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301052529 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 080111824 | 01 | |
| MI | 103376072 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518331289 | Roderick Tyrone Walker | Social Worker | 41425 Damask Dr, Clinton Township, MI 48038-7500 | 2015-11-18 |
| Street Address |
2050 N HAGGERTY RD SUITE 100 |
| City | CANTON |
| State | MI |
| Zip Code | 48187-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053383653 | David Isaac Margolis | Internal Medicine | 2050 N Haggerty Rd, Suite 100, Canton, MI 48187-3795 | 2006-02-07 |
| 1417490855 | Monica J Thomson, Do, Pllc | Obstetrics & Gynecology | 2050 N Haggerty Rd, Suite 260, Canton, MI 48187-3795 | 2016-12-01 |
| 1881043685 | Jane Maureen Boruta | Internal Medicine | 2050 N Haggerty Rd, Ste120, Canton, MI 48187-3795 | 2016-06-13 |
| 1487995353 | Christine Tyler Jogi | Nurse Practitioner | 2050 N Haggerty Rd, Ste 100, Canton, MI 48187-3795 | 2013-03-02 |
| 1689922817 | Zenara Covington-barlow | Speech-Language Pathologist | 2050 N Haggerty Rd, Suite280, Canton, MI 48187-3795 | 2012-08-20 |
| 1033426242 | Dmc Billing Associates LLC | Internal Medicine | 2050 N Haggerty Rd, Suite 200, Canton, MI 48187-3795 | 2010-09-09 |
| 1063648269 | Geriatric Care Associates Plc | Nursing Care | 2050 N Haggerty Rd, #100, Canton, MI 48187-3795 | 2009-06-03 |
| 1992956015 | Verna K Mccracken | Occupational Therapist | 2050 N Haggerty Rd, Suite280, Canton, MI 48187-3795 | 2008-10-07 |
| 1063663524 | Piyush Madani | Physical Therapist | 2050 N Haggerty Rd, Suite 280, Canton, MI 48187-3795 | 2008-10-02 |
| 1669654208 | Western Wayne Urgent Care PC | Clinic/Center | 2050 N Haggerty Rd, Suite 140, Canton, MI 48187-3795 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1417571142 | K Loor Medical LLC | Family Medicine | 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 | 2020-05-28 |
| 1336762913 | Favor Family Medical Practice | Family Medicine | 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 | 2020-05-18 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1073012118 | Mea Primary Care Plus LLC | Family Medicine | 112 Southlake Cir, Canton, MS 39046-5368 | 2018-02-05 |
| 1629592175 | Healthy U Academy, LLC | Family Medicine | 1226 Market Ave N, Canton, OH 44714-2604 | 2017-07-26 |
| 1629508114 | Zeinab M Makki | Family Medicine | 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 | 2017-06-15 |
| 1366805210 | Michael Wowk | Family Medicine | 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 | 2016-03-29 |
| 1184036832 | Courtney Weaver | Family Medicine | 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 | 2014-05-29 |
| Find all providers in CANTON | ||||
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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.