Gregory Walker (NPI# 1487074084, PAC ID# 4587951298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1487074084 |
| PAC ID by PECOS | 4587951298 |
| Professional Enrollment ID | I20180516001339 |
| Full Name | Gregory Walker |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Address |
300 Richland W Circle 2c Dermatology Associates Waco TX 76712-7935 |
| Phone Number | 2543406000 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0042464125 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Richland W Circle, 2c Dermatology Associates, Waco, TX 76712-7935 | 2543406000 | OLIVER STREET 5.01(A) INC. |
| Organization Legal Name | OLIVER STREET 5.01(A) INC. |
| Physicians | 142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam Awan | Dermatology | Oliver Street 5.01(a) Inc. | 4701 Medical Ctr Dr, Suite 1b, Mckinney, TX 75069-1831 |
| Trisha Jayantilal Patel | Dermatology | Oliver Street 5.01(a) Inc. | 8210 Walnut Hill Lane Pob 1, Suite 810, Dallas, TX 75231 |
| Calvin Lamont Williams | Dermatology | Oliver Street 5.01(a) Inc. | 9808 N Beach St, 600 Us Dermatology Partners, Fort Worth, TX 76244-6184 |
| Nancy Marchell | Dermatology | Oliver Street 5.01(a) Inc. | 1605 Rock Prairie Rd, Suite 300, College Station, TX 77845-8358 |
| Pamela N Murray | Physician Assistant | Oliver Street 5.01(a) Inc. | 5805 Coit Rd, Suite 203, Plano, TX 75093-6990 |
| Matthew Helm | Dermatology | Oliver Street 5.01(a) Inc. | 815 Pecan Grove Rd E, Us Dermatology Partners, Sherman, TX 75090-1768 |
| Matthew Thomas Hoffmann | Dermatology | Oliver Street 5.01(a) Inc. | 901 Walnut Hill Dr, Dermatology Associates, Longview, TX 75605-5054 |
| Young T Mcmahan | Dermatology | Oliver Street 5.01(a) Inc. | 300 Richland W Circle, 2c Dermatology Associates, Waco, TX 76712-7935 |
| Kelly Jackson | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 1720 S Beckham, 102 Dermatology Associates, Tyler, TX 75701-4464 |
| Christine Lawson | Physician Assistant | Oliver Street 5.01(a) Inc. | 5030 Tennyson Pkwy, Plano, TX 75024-3002 |
| Street Address |
300 RICHLAND W CIRCLE 2C DERMATOLOGY ASSOCIATES |
| City | WACO |
| State | TX |
| Zip | 76712-7935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Young T Mcmahan | Dermatology | Oliver Street 5.01(a) Inc. | 300 Richland W Circle, 2c Dermatology Associates, Waco, TX 76712-7935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | DERMATOLOGY |
| City + Specialty | WACO + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.