JERRY D WALKER JR. (NPI# 1649238866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649238866 |
| Entity Type | Individual |
| Full Name | JERRY D WALKER JR. |
| Credential | MD |
| Practice Address |
30 N 1900 E Room 4a100 Som Salt Lake City UT 84132 |
| Practice Telephone | 8015852341 |
| Practice Fax Number | 8015875874 |
| Mailing Telephone | 8015852341 |
| Mailing Fax Number | 8015875874 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
52929081205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PEHP | 72960 | 01 |
| UT | IHC HEALTHPLANS | 107017716101 | 01 |
| UT | 870281028000 | 05 | |
| UT | EMIA | 870281028WA1 | 01 |
| UT | DMBA | 802507 | 01 |
| UT | UNITED HEALTHCARE | 25-00402 | 01 |
| UT | ALTIUS | QM0000067329 | 01 |
| UT | PALMETTO GBA | P00100723 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598319113 | Jerry Elton Walker Jr. | Specialist/Technologist | 1008 Absecon Blvd, Atlantic City, NJ 08401-2536 | 2019-07-31 |
| 1053641126 | Jerry W Walker | Dentist | 6060 N Bay Ridge Ave, Milwaukee, WI 53217-4663 | 2010-01-12 |
| 1700984440 | Jerry L Walker | Dentist | 4303 Bridgeport Way W, University Place, WA 98466-4334 | 2006-09-20 |
| 1861461485 | Jerry Don Walker | Chiropractor | 105 Boland St, Fort Worth, TX 76107-1221 | 2006-03-16 |
| 1154310373 | Jerry H Walker | Dentist | 390 South 3rd West, Soda Springs, ID 83276 | 2005-10-20 |
| 1467066316 | Jerry Keith Walker | Dentist | 1314 N Yarbrough Dr, El Paso, TX 79925-7802 | 2020-09-08 |
| 1770851933 | Jerry Vanzant Walker IIi | Psychologist | 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2011-12-02 |
| 1306093067 | Jerry Dean Walker | Dentist | 201 Dental Science S, College of Dentistry, Iowa City, IA 52242-1001 | 2008-08-25 |
| 1699766089 | Jerry W Walker | Counselor | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-03 |
| Street Address |
30 N 1900 E ROOM 4A100 SOM |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238219 | Erin R Harward | Genetic Counselor, MS | 30 N 1900 E, Neurology, University of Utah, Salt Lake City, UT 84132-0002 | 2005-10-13 |
| 1962029611 | Alexia Rae Searle | Nurse Practitioner | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-06-29 |
| 1538783055 | Melinda Orr | Nurse Practitioner | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-06-01 |
| 1588286579 | Peter Joel Christiansen | Physician Assistant | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-05-12 |
| 1700415940 | Michael Zou | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-08 |
| 1356970933 | Nathan Davidson | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-05 |
| 1568091478 | Kartemus O'neal Heary | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-02 |
| 1336777432 | Casey Fenger | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-01 |
| 1265060644 | Jeremy Smith | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-03-31 |
| 1396373718 | Campbell Walter Miller | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003189622 | Mehmet Akkaya | Internal Medicine | University of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132-0001 | 2012-02-13 |
| 1700199627 | Majd Ibrahim | Internal Medicine | 30 N Medical Dr Rm 4a100, Salt Lake City, UT 84132 | 2010-07-20 |
| 1588804314 | Michael John Preece | Internal Medicine | 1064 Donner Way, Salt Lake City, UT 84108-2507 | 2009-03-06 |
| 1902071673 | John Joseph Ryan | Internal Medicine | Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 | 2008-04-24 |
| 1831364561 | Lowell Chang | Internal Medicine | 30 N Medical Dr, Salt Lake City, UT 84132-0001 | 2008-04-23 |
| 1467505206 | Ravi Ranjan | Internal Medicine | 30 N 1900 E Rm 4a100, Health Sciences Center, Salt Lake City, UT 84132-0002 | 2007-01-18 |
| 1952321192 | G Michael Vincent | Internal Medicine | 324 10th Ave Ste 130, Salt Lake City, UT 84103-2812 | 2006-07-20 |
| 1811965122 | John D Day | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2006-03-11 |
| 1083699144 | Frank G Yanowitz | Internal Medicine | 8th Ave & C St, Lds Hospital, Salt Lake City, UT 84143-0001 | 2005-12-13 |
| 1306835186 | Peter P Steele | Internal Medicine | 3350 S 2940 E, 9677, Salt Lake City, UT 84109-3159 | 2005-10-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.