Physician Compare National (NPI:1285725408)

HEALTHCARE PROVIDER: ROGERS SMITH WALKER SR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285725408
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395707590
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100419000645
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WALKER
	Individual professional last name
Provider First Name	ROGERS
	Individual professional first name
Provider Middle Name	SMITH
	Individual professional middle name
Provider Name Suffix Text	SR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1300 HWY 17
	Group Practice or individual's line 1 address
City	LITTLE RIVER
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	295669215
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420105
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MCLEOD LORIS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	340158
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NOVANT HEALTH BRUNSWICK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	420085
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GRAND STRAND REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y