NDIDI O WALKER


Address: 575 Profession Drive, Ste. 165, Lawrenceville, GA 30046-3333
Phone: 7702773056

NDIDI O WALKER (NPI# 1699962738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699962738
Entity Type Individual
Full Name NDIDI O WALKER
Other Name AMALACHI OKAFOR
Credential AA
Practice Address 575 Profession Drive
Ste. 165
Lawrenceville
GA 30046-3333
Mailing Address Po Box 551420
Fort Lauderdale
FL 33355-1420
Practice Telephone 7702773056
Practice Fax Number 8552045244
Mailing Telephone (800) 243-3839
Mailing Fax Number 8558514405
Enumeration Date 2007-10-03
Last Update Date 2017-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 005240 GA Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant 1638 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 575 PROFESSION DRIVE
STE. 165
City LAWRENCEVILLE
State GA
Zip Code 30046-3333

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1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346703758 Alexander Lee Anesthesiologist Assistant 1228 Christiana Xing, Lawrenceville, GA 30043-7007 2019-04-11
1194252379 Manuela Botero Anesthesiologist Assistant 1209 Lochshyre Ct, Lawrenceville, GA 30043-4474 2017-05-18
1780298356 Jennifer Nicole Venable Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2020-09-01
1639782378 Tehzeeb Babwani Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2020-08-24
1508400078 Eui Jong Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2019-10-29
1326533266 Moon Young Jung Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046 2018-06-23
1831607142 Betsy Eleane Cuenca Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2018-01-21
1093263899 Lin Thi Bui Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2016-09-21
1992161624 Benita Merin Mathew Anesthesiologist Assistant 575 Professional Dr, #165, Lawrenceville, GA 30046-3333 2016-01-11
1811370737 Gregg Snider Anesthesiologist Assistant 575 Professional Dr, Lawrenceville, GA 30046-3333 2015-07-09
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

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.

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