Grant Edward Walker
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

Address: 131 N Oak St, Blackfoot, ID 83221
Phone: 2087854665

Grant Edward Walker (NPI# 1700923018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700923018
Entity Type Individual
Full Name Grant Edward Walker
Credential MD
Gender Male
Practice Address 131 N Oak St
Blackfoot
ID 83221
Practice Telephone 2087854665
Practice Fax Number 2087852199
Mailing Address 5880 S Hospital Dr
Globe
AZ 85501-9447
Mailing Telephone 9284021175
Mailing Fax Number 9284257903
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-01-30
Last Update Date 2016-11-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207XS0117X Orthopaedic Surgery · Orthopaedic Surgery of the Spine Allopathic & Osteopathic Physicians M8790 ID
No 207XS0117X Orthopaedic Surgery · Orthopaedic Surgery of the Spine Allopathic & Osteopathic Physicians DR32874 CO
No 207XS0117X Orthopaedic Surgery · Orthopaedic Surgery of the Spine Allopathic & Osteopathic Physicians 30958 AZ
No 207XS0117X Orthopaedic Surgery · Orthopaedic Surgery of the Spine Allopathic & Osteopathic Physicians 7587A WY
No 207XS0117X Orthopaedic Surgery · Orthopaedic Surgery of the Spine Allopathic & Osteopathic Physicians 11112 MT

Other Provider Identifier

State Identifier Issuer Type Code
ID 54841 OTHER BLUE CROSS
106308600 OTHER DEPT OF LABOR
CO 801254 OTHER MEDICARE
ID 000010143629 OTHER BLUE SHIELD
2093784 OTHER FIRST HEALTH
ID 806635100 MEDICAID
5470815 OTHER CCN

Other Providers GRANT WALKER

NPI Name Taxonomy Address Enumeration
1063752384 Grant Walker Pharmacist 21718 66th Ave W Ste 202, Mountlake Terrace, WA 98043-2138 2013-02-22
1972858025 Grant C Walker Physician Assistant 1155 W Jefferson St Ste 202, Franklin, IN 46131-2732 2012-07-16
1396796629 Grant Paul Walker Counselor 8495 Crater Lake Hwy, White City, OR 97503-3011 2006-05-12

Physician Overview

NPI 1700923018
PAC ID by PECOS 8123006848
Professional Enrollment ID I20161213001744
Full Name Grant Walker
Organization Legal Name COBRE VALLEY REGIONAL MEDICAL CENTER
Phone Number 9284253261
Gender M
Credential MD
Medical School ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year 1992
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 0648181693
Number of Group Practice Members 17
Accepts Medicare Assignment Y

Office Location

Street Address 131 N OAK ST
City BLACKFOOT
State ID
Zip Code 83221

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962994962 Tyler Thomas Wood Student in an Organized Health Care Education/Training Program 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 2018-06-05
1801336276 Bmh, Inc. Internal Medicine 235 Poplar St, Blackfoot, ID 83221 2017-03-03
1497119804 Susan Doran Social Worker 720 E. Alice, Blackfoot, ID 83221 2016-04-12
1427412121 Josie Russell Adkins Counselor 720 East Alice, Blackfoot, ID 83221 2016-04-08
1740590314 Ashley Nichole Thomas Physician Assistant 710 E. Alice Street, Blackfoot, ID 83221 2010-10-18
1528373313 Stephanie Lynn Henderson Dietitian, Registered 1555 Vernon Ave, Blackfoot, ID 83221 2010-08-17
1184850141 Joy H. Taylor Nurse Practitioner 1441 Parkway Drive, Blackfoot, ID 83221 2009-06-04
1083809289 Renal Treatment Centers West Inc Clinic/Center 1491 Parkway Drive, Blackfoot, ID 83221 2007-09-11
1104038991 Brent Wilson Harper Dentist 694 W. Hwy. 39, Blackfoot, ID 83221 2007-05-04
1518023423 Michael Lafayette Johnson Chiropractor 6th W. Bridge St., Blackfoot, ID 83221 2006-12-28
Find all providers in zip 83221

Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083998827 Boise Spine Surgery P.a. Orthopaedic Surgery 8756 W. Emerald Street, Suite 176, Boise, ID 83704-4834 2011-09-28
1316029176 Lynn J Stromberg Orthopaedic Surgery 2355 Coronado, Idaho Falls, ID 83404 2006-10-20
1396827150 Mark A Weight Orthopaedic Surgery 2355 Coronado St, Idaho Falls, ID 83404-7407 2006-10-20
1699710541 Joseph M Verska Orthopaedic Surgery 8756 W. Emerald St., Suite 176, Boise, ID 83704-4834 2006-06-17
1124060983 Verst Spine & Orthopedic Care,pllc Orthopaedic Surgery 15 West Galena St, Hailey, ID 83333 2006-06-12
1821036724 Intermountain Spine and Orthopedics, PC Orthopaedic Surgery 1411 Falls Ave E, Suite 1301, Twin Falls, ID 83301-3455 2006-06-03
1306831698 Gregory Dean Dietrich Orthopaedic Surgery 320 Warner Drive, Lewiston, ID 83501 2005-09-13
1023029840 Howard A King Orthopaedic Surgery 600 N Robbins Rd, Ste 100, Boise, ID 83702-4566 2006-08-10
1659380269 Spine Institute of Idaho P A Orthopaedic Surgery 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 2006-08-05
1962447169 Samuel Steven Jorgenson Orthopaedic Surgery 360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318 2006-06-19
Find all providers with the same taxonomy

Competitor

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City BLACKFOOT
Zip Code 83221

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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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