Provider Demographics
NPI:1578581617
Name:WALKER, JAMES E JR (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LSU MEDICAL EDUCATION CENTER
Mailing Address - Street 2:5246 BRITTANY DRIVE
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808
Mailing Address - Country:US
Mailing Address - Phone:225-757-4080
Mailing Address - Fax:225-757-4100
Practice Address - Street 1:LSU HEALTH SCIENCES CENTER
Practice Address - Street 2:5246 BRITTANY DRIVE
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-757-4080
Practice Address - Fax:225-757-4100
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA308314207RC0200X, 207RP1001X
TN44862207RC0200X
MS21914207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514074Medicaid
TN1514074Medicaid