Provider Demographics
NPI:1114052438
Name:LEVI WALKER, MD,PC
Entity Type:Organization
Organization Name:LEVI WALKER, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INERNIST
Authorized Official - Prefix:
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-363-5200
Mailing Address - Street 1:211 N WHITFIELD ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3039
Mailing Address - Country:US
Mailing Address - Phone:412-363-5200
Mailing Address - Fax:412-363-5263
Practice Address - Street 1:211 N WHITFIELD ST
Practice Address - Street 2:SUITE 710
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-363-5200
Practice Address - Fax:412-363-5263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036284E207QA0505X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5783337OtherCIGNA
PA0110909150001Medicaid
PA17501OtherHEALTHAMERICA
PA101461OtherUPMC
PA110020285OtherRAILROAD MEDICARE
PA77269OtherUNISON MEDPLUS
PA146476OtherHIGHMARK
PA101461OtherUPMC
PAC31797Medicare UPIN