MR. THOMAS JAY WALKER (NPI# 1396945853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396945853 |
| Entity Type | Individual |
| Full Name | MR. THOMAS JAY WALKER |
| Credential | IDC |
| Practice Address |
Special Boat Team 22 2603 Lower Gainsville Rd Stennis Space Center MS 39529-0001 |
| Practice Telephone | 2288134000 |
| Practice Fax Number | 2288134021 |
| Mailing Telephone | 2288134000 |
| Mailing Fax Number | 2288134021 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583150 | Thomas Walker | Massage Therapist | 101 2nd St Ste 302, Holly Hill, FL 32117-4903 | 2020-09-21 |
| 1811511868 | Thomas Walker | Registered Nurse | 2367 Maserati Dr, Frisco, TX 75033-1673 | 2020-06-05 |
| 1467925636 | Thomas R Walker | Physical Therapy Assistant | 1928 Sw 25th St, Gresham, OR 97080-9523 | 2019-01-09 |
| 1902201882 | Thomas James Walker Jr. | Counselor | 2901 W Oakland Park Blvd Ste A1-a2, Oakland Park, FL 33311-1243 | 2014-11-04 |
| 1619398401 | Thomas Richard Walker | General Practice | 4700 River Rd, Riverdale, MD 20737-1228 | 2013-12-20 |
| 1396070306 | Thomas Lee Walker | Pharmacist | 3590 Nw 17th St, Lauderhill, FL 33311-4204 | 2009-10-08 |
| 1497902753 | Thomas Walker | Pharmacist | 9005 Richlands Highway, Richlands, NC 28574 | 2008-08-19 |
| 1194994467 | Thomas G. M. Walker | Specialist | 655 Analu Street, Honolulu, HI 96817 | 2008-02-21 |
| 1427273580 | Thomas L Walker | Dentist | 101 Richeson Dr, Lynchburg, VA 24501-2911 | 2007-04-16 |
| 1134246481 | Thomas Howard Walker | Dentist | 488 S State Road 135, Greenwood, IN 46142-1424 | 2007-03-23 |
| Street Address |
SPECIAL BOAT TEAM 22 2603 LOWER GAINSVILLE RD |
| City | STENNIS SPACE CENTER |
| State | MS |
| Zip Code | 39529-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740413558 | Brandon Wayne Schwartz | Military Health Care Provider | Special Boat Team 22, 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306043641 | William Anthony Minor | Military Health Care Provider | 2603 Lower Gainsville Rd, Nattc Sbt 22, Ssc, MS 39529 | 2007-06-29 |
| 1124341763 | Trevor James Trout | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2010-03-10 |
| 1962692111 | Francisco Xavier Eavenson | Military Health Care Provider | 2603 Gainesville Road, Stennis Space Center, MS 39529-0001 | 2007-07-25 |
| 1164624938 | David Allen Stanfield | Military Health Care Provider | 2606 Lower Gainesville Rd, Navsciatts, Stennis Space Center, MS 39529-0001 | 2007-06-04 |
| 1205048501 | Jean Marc Dube | Military Health Care Provider | Special Boat Team Twenty Two, 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001 | 2007-05-07 |
| 1811964471 | Thomas Michael Baldwin | General Practice | 2603 Lower Gainesville Road, Special Boat Team Twenty-two, Stennis Space Center, MS 39529-0001 | 2006-03-02 |
| 1952721896 | Renee Hendershot | Specialist/Technologist | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2014-04-18 |
| 1285997841 | Robert Dale Baker | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2012-06-19 |
| 1538421268 | James Patrick Sonnier | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2012-06-08 |
| 1881820579 | Frank James Arnold | General Practice | 2603 Lower Gainsville Rd, Stennis Space Center, MS 39529-0001 | 2009-06-08 |
| Find all providers in zip 39529 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124341763 | Trevor James Trout | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2010-03-10 |
| 1962692111 | Francisco Xavier Eavenson | Military Health Care Provider | 2603 Gainesville Road, Stennis Space Center, MS 39529-0001 | 2007-07-25 |
| 1164624938 | David Allen Stanfield | Military Health Care Provider | 2606 Lower Gainesville Rd, Navsciatts, Stennis Space Center, MS 39529-0001 | 2007-06-04 |
| 1205048501 | Jean Marc Dube | Military Health Care Provider | Special Boat Team Twenty Two, 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001 | 2007-05-07 |
| 1285997841 | Robert Dale Baker | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2012-06-19 |
| 1538421268 | James Patrick Sonnier | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2012-06-08 |
| 1740413558 | Brandon Wayne Schwartz | Military Health Care Provider | Special Boat Team 22, 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001 | 2009-08-26 |
| 1598945693 | Eric James Motz | Military Health Care Provider | 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043747553 | Rowdy Pameticky | Military Health Care Provider | 952 Poni Pl, Diamondhead, MS 39525-4135 | 2017-05-15 |
| 1528515046 | Nicolas Riley | Military Health Care Provider | 5501 Marvin Shields Blvd., Gulfport, MS 39501-5007 | 2016-09-01 |
| 1235519984 | Bradley Craig Wilson | Military Health Care Provider | 2807 Montclair Ave, Pascagoula, MS 39567-5287 | 2015-06-08 |
| 1477932200 | Michael Alexander Boartfield | Military Health Care Provider | 4033a Mallard Cv, Gulfport, MS 39501-2833 | 2015-05-26 |
| 1336536531 | Jeffrey Alexander Leemauk | Military Health Care Provider | 4010a Blue Heron Way, Gulfport, MS 39501-2815 | 2015-04-25 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| 1427316041 | Jeremiah John Baldwin | Military Health Care Provider | 5303 Marvin Shields Blvd, Gulfport, MS 39501-9013 | 2012-05-02 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1245563162 | Jenesia Arielle Dillow Ordonia | Military Health Care Provider | 3158b Holloway Dr, Gulfport, MS 39501-9030 | 2009-09-10 |
| 1326298795 | Greg Allan Lassiter | Military Health Care Provider | 3110 B Seagull St, Gulfport, MS 39501 | 2008-09-23 |
| Find all providers with the same taxonomy | ||||
| City | STENNIS SPACE CENTER |
| Zip Code | 39529 |
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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.