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NPI Code Detail

MEDICARE: DR. THOMAS N WALKER M.D.

MEDICARE: DR. THOMAS N WALKER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician17721WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001713042OTHERWVBCBS AAP NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3205542387OTHERWVAAP TRI CARE NUMBER
427005299701OTHERWVBRICKSTREET

General Provider Information

NPI Number : 1619937935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS N WALKER M.D.
Provider Business Mailing Address
First Line : 327 MEDICAL PARK DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 681-342-3461
Fax Number :
Provider Business Practice Location Address
First Line : 327 MEDICAL PARK DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 681-342-1610
Fax Number : 681-342-1626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 04/05/2022

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Directions to “ DR. THOMAS N WALKER M.D.” Practice Location

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