JIMMY L WALKER JR. (NPI# 1063472751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063472751 |
| Entity Type | Individual |
| Full Name | JIMMY L WALKER JR. |
| Credential | PA-C |
| Practice Address |
324 Roxbury Rd Rockford IL 61107-5090 |
| Mailing Address |
Box 78534 Milwaukee WI 53278 |
| Practice Telephone | 8153817431 |
| Practice Fax Number | 8153817498 |
| Mailing Telephone | 8153817431 |
| Mailing Fax Number | 8153817498 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2014-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085002474 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831263607 | Jimmy Dale Walker | Physical Therapy Assistant | 1266 Muckle Branch Rd, Ethridge, TN 38456-7011 | 2006-11-20 |
| 1073527230 | Jimmy Allen Walker | Optometrist | 1237 Mcdonald Chapel Rd, Collins, MS 39428-4094 | 2006-07-27 |
| Street Address |
324 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036973 | Alicia A Heuser | Physician Assistant | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2005-07-07 |
| 1578180105 | Anna R Gibbons | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-30 |
| 1730705732 | Krista L Carlson | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-25 |
| 1821613274 | Erin B Thomas | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-11 |
| 1053948521 | Micah Lynn Ann Clutter | Specialist/Technologist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-03-25 |
| 1881232817 | Eleni Polites | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-12-20 |
| 1316507890 | Ashley Ann Smith | Podiatrist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-06-18 |
| 1093371197 | Christine M Piasecki | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| 1831755024 | Suzanne Workman | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| 1861058950 | Paige A Lyford | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525304 | Kevin Patrick Peters | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2018-07-23 |
| 1598217168 | Cindy Giurgiu | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2016-10-31 |
| 1447682703 | Patrick Hoffmann | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2013-08-08 |
| 1720286206 | Neurex Pllc | Physician Assistant | 1491 Stony Creek Way, Apt 2, Rockford, IL 61108-1210 | 2007-07-06 |
| 1629177647 | Daniel A Bentley | Physician Assistant | 1401 E State St, Rockford, IL 61104-2315 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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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.