Provider Demographics
NPI:1457301707
Name:WALKER & ISBELL SURGEONS PA
Entity Type:Organization
Organization Name:WALKER & ISBELL SURGEONS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ISBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-845-4157
Mailing Address - Street 1:321 MEDICAL CENTER DR SW
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35968-3420
Mailing Address - Country:US
Mailing Address - Phone:256-845-4157
Mailing Address - Fax:256-845-4266
Practice Address - Street 1:321 MEDICAL CENTER DR SW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35968-3420
Practice Address - Country:US
Practice Address - Phone:256-845-4157
Practice Address - Fax:256-845-4266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL528501510Medicaid
C14451OtherRAILROAD MEDICARE
ALD843Medicare ID - Type Unspecified