DEREK WALKER


Address: 1090 Arnold Dr, Little Rock Afb, AR 72099-1201
Phone: 5019877319

DEREK WALKER (NPI# 1992169932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992169932
Entity Type Individual
Full Name DEREK WALKER
Credential MD
Practice Address 1090 Arnold Dr
Little Rock Afb
AR 72099-1201
Mailing Address 1090 Arnold Dr # 1090
Little Rock Afb
AR 72099-4933
Practice Telephone 5019877319
Mailing Telephone 5019877319
Enumeration Date 2016-04-06
Last Update Date 2018-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2083A0100X Preventive Medicine
Specialization: Aerospace Medicine
01078888A IN Allopathic & Osteopathic Physicians
Y 208D00000X General Practice 01078888A IN Allopathic & Osteopathic Physicians

Other Providers DEREK WALKER

NPI Name Taxonomy Address Enumeration
1962955484 Derek Walker Pharmacist 500 S Willow Ave, Cookeville, TN 38501-3727 2016-08-02
1982916532 Derek Brian Walker Anesthesiologist Assistant 417 W 3rd Ave, Albany, GA 31701-1943 2010-07-12

Office Location

Street Address 1090 ARNOLD DR
City LITTLE ROCK AFB
State AR
Zip Code 72099-1201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558353524 Ruth Paula Gullotta Pediatrics 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2005-08-16
1669087961 Franko Salazar Physician Assistant 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2020-09-14
1023642840 Cara D Roth Social Worker 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2020-03-02
1154971513 Timothy Ryan Southerland Psychologist 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2019-09-18
1407409428 Jenisha Rae Mermis Military Health Care Provider 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2019-07-18
1457810848 Dennis Dale Jackson II Pharmacist 1090 Arnold Dr, Little Rock Afb, AR 72099 2019-03-15
1053877902 Chase Andrew Cannon Physician Assistant 1090 Arnold Dr, Little Rock Afb, AR 72099-2502 2019-02-15
1235600461 Leeanne Elizabeth Ogle Military Health Care Provider 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2018-12-16
1972078004 Meghan Rachelle Dailey Physician Assistant 1090 Arnold Dr, Little Rock Afb, AR 72099-1043 2018-10-04
1760977979 Lashica Davis Pharmacist 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2018-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356876577 Little Rock Air Force Base Eye Care Optometrist 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 2017-04-25
1841636206 National Vision Optical Technician/Technologist Bldg 787 6th St., Little Rock, AR 72099 2013-05-13
1134341076 Keisha Denythia Henry Psychologist 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 2007-05-02
1699213454 Teryn Ardell Freeman Physician Assistant 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 2017-02-01
1730314899 Andrew Chichick Iv Military Health Care Provider 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 2009-05-19
1427316488 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 2012-04-27
1700174828 Lewis Mark Wiggins Family Medicine 19th Medical Group, Jacksonville, AR 72099-0001 2011-07-11
1104052158 Seth Thomas Tolliver Nurse Practitioner 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099-0001 2009-06-04
1316171994 Jeff J. Sandoval Military Health Care Provider 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 2009-05-11
1366610198 Robert Anthony Olivi Jr. Physician Assistant 19th Medical Group 1090 Arnold Drive, Little Rock Air Force Base, AR 72099-0001 2008-02-14
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386005718 Jeremy Berger General Practice 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2016-03-12
1932536687 Amanda Killinger General Practice 1090 Arnold Dr, Flight Medicine Clinic, Little Rock Afb, AR 72099-4933 2013-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790382059 Landmark Medical of Arkansas Pa General Practice 425 W Capitol Ave Ste 425, Little Rock, AR 72201-3424 2020-10-08
1306480231 Command Radiology Solutions, Inc. General Practice 3708 Pilot Grove Loop, Ozark, AR 72949-2488 2019-11-04
1215586797 Achor Management Inc General Practice 1900 Club Manor Dr Ste 101a, Maumelle, AR 72113-7443 2019-09-08
1093364820 Center for Regenerative Medicine Pa General Practice 9307 Maumelle Blvd, North Little Rock, AR 72113-6609 2019-09-04
1083269690 University of Arkansas At Monticello General Practice 663 University Drive, Monticello, AR 71656 2019-08-09
1912492786 Chelsea Brown General Practice 6309 Highway 5 N, Bryant, AR 72022-8506 2018-06-25
1205345154 Lakeside Walk-in Clinic Pllc General Practice 2230 Malvern Ave Ste E, Hot Springs, AR 71901-8000 2017-09-22
1558897595 Epoch-nwa Pllc General Practice 5100 W Pauline Whitaker Pkwy, Ste. 110, Rogers, AR 72758-8335 2017-05-11
1023540655 Aaron M Smith General Practice Varner Unit State Hwy 388, Gould, AR 71643 2017-04-02
1942749148 Reece Lewis Crow General Practice 34 Windsor Road, Little Rock, AR 72212 2017-02-21
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Competitor

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City LITTLE ROCK AFB
Zip Code 72099

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Dataset Information

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.

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