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Physician Compare National (NPI:1417044348)

HEALTHCARE PROVIDER: LEE WILLIAM WALKER JR. 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 1417044348
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2769472299
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040518000987
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 LEE
Individual professional first name
Provider Middle Name W
Individual professional middle name
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 MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9600 BAPTIST HEALTH DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 220
Group Practice or individual's line 2 address
City LITTLE ROCK
Group Practice or individual's city
State AR
Group Practice or individual's state
Zip Code 722056344
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 040114
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 040007
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 CHI-ST VINCENT INFIRMARY
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 040084
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SALINE MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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