Patrick Warren Walker (NPI# 1699937367, PAC ID# 6800020603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1699937367 |
| PAC ID by PECOS | 6800020603 |
| Professional Enrollment ID | I20131010000830 |
| Full Name | Patrick Warren Walker |
| Organization Legal Name | ORAL AND FACIAL SURGERY ASSOCIATES PC |
| Address |
745 Old Norcross Rd Lawrenceville GA 30045-4317 |
| Phone Number | 7709629515 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2008 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 4082677380 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1215 Tuscany Dr A, Braselton, GA 30517-3488 | 7709622226 | ORAL AND FACIAL SURGERY ASSOCIATES PC |
| 745 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 7709629515 | ORAL AND FACIAL SURGERY ASSOCIATES PC |
| Organization Legal Name | ORAL AND FACIAL SURGERY ASSOCIATES PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandeep V Pathak | Oral Surgery | Oral and Facial Surgery Associates PC | 745 Old Norcross Rd, Lawrenceville, GA 30045-4317 |
| Jess A Gardner Iii | Maxillofacial Surgery | Oral and Facial Surgery Associates PC | 745 Old Norcross Rd, Lawrenceville, GA 30045-4317 |
| Street Address |
745 OLD NORCROSS RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip | 30045-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandeep V Pathak | Oral Surgery | Oral and Facial Surgery Associates PC | 745 Old Norcross Rd, Lawrenceville, GA 30045-4317 |
| Jess A Gardner Iii | Maxillofacial Surgery | Oral and Facial Surgery Associates PC | 745 Old Norcross Rd, Lawrenceville, GA 30045-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ritu Kapoor | Nurse Practitioner | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Christopher Scott Crooker | Internal Medicine | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Heather D Noblett | Nurse Practitioner | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Richard G Petit | Physician Assistant | Gwinnett Center Medical Associates | 748 Old Norcross Rd, Suite 185, Lawrenceville, GA 30045 |
| Atul Sharma | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Robert A Stoltz | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Michael S Jacobson | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Jay B Stallman | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Stephanie L Vanderveldt | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Sean S Koh | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Find all physicians in zip 30045 | |||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | LAWRENCEVILLE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Patrick Warren Walker.
| 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.