MR. DERRICK W WALKER (NPI# 1760611529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760611529 |
| Entity Type | Individual |
| Full Name | MR. DERRICK W WALKER |
| Credential | MD |
| Practice Address |
7910 E Washington St Suite 200 Indianapolis IN 46219-2890 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3173557171 |
| Practice Fax Number | 3173559022 |
| Mailing Telephone | 3173557199 |
| Mailing Fax Number | 3173559022 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2017-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01068282A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11015165A | IN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE PTAN | P01157069 | 01 |
| IN | 201060400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040823 | Derrick A Walker | Surgery | 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163-5517 | 2005-08-22 |
| 1770143471 | Derrick James Walker | Dentist | 190 Marcell Dr Ne, Rockford, MI 49341-1300 | 2019-06-17 |
| 1184135485 | Derrick Walker | Dietitian, Registered | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2017-10-13 |
| Street Address |
7910 E WASHINGTON ST SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567202 | Jerrold R Smith | Pediatrics | 7910 E Washington St, Suite 200, Indianapolis, IN 46219-6803 | 2005-06-10 |
| 1295341923 | Elilta Tsegai | Dietitian, Registered | 7910 E Washington St, Indianapolis, IN 46219-5533 | 2020-09-17 |
| 1770942047 | Jill Davidson | Pharmacist | 7910 E Washington St, Suite 110, Indianapolis, IN 46219-6803 | 2016-02-16 |
| 1962871541 | Nicole Jasperson | Pharmacist | 7910 E Washington St, Indianapolis, IN 46219-6803 | 2015-09-24 |
| 1912385485 | Gretchen Huffman | Nurse Practitioner | 7910 E Washington St, Indianapolis, IN 46219 | 2015-05-15 |
| 1083006217 | Community Health Network, Inc | Family Medicine | 7910 E Washington St, Suite 350, Indianapolis, IN 46219-6803 | 2015-02-25 |
| 1487094843 | Erin Kay Peterson | Occupational Therapist | 7910 E Washington St, Indianapolis, IN 46219-6803 | 2013-07-01 |
| 1396181152 | Tameka L Jones | Family Medicine | 7910 E Washington St, Suite 200, Indianapolis, IN 46219-6803 | 2013-05-20 |
| 1467711705 | Donna L Doerffler | Nurse Practitioner | 7910 E Washington St, Indianapolis, IN 46219-6803 | 2012-05-07 |
| 1467763474 | Jihan Yvette Huggins | Family Medicine | 7910 E Washington St, Suite 200, Indianapolis, IN 46219-6803 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| 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 |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
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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.