{
"Npi": {
"NPI": "1679612253",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WALKER SURGICAL CENTER LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15933 CLAYTON RD STE 210",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BALLWIN",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63011-2172",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "616-588-6593",
"MailingAddressFaxNumber": "616-383-0610",
"FirstLinePracticeLocationAddress": "3300 WALKER VW NW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WALKER",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49544-9139",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "616-588-6570",
"PracticeLocationAddressFaxNumber": "616-647-9119",
"EnumerationDate": "02/06/2007",
"LastUpdateDate": "01/20/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATRICK",
"AuthorizedOfficialFirstName": "ANDREA",
"AuthorizedOfficialMiddleName": "LYNN",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "616-588-6593",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}