Provider Demographics
NPI:1639198559
Name:WALKER, ANDREW R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:R
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDRZEJ
Other - Middle Name:RAFEL
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4093
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:431 N 21ST ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2202
Practice Address - Country:US
Practice Address - Phone:717-763-3730
Practice Address - Fax:717-763-3734
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056746L208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD884265OtherCAREFIRST MARYLAND BCBS
PA2161248OtherMAMSI-WMG
PA0510341000OtherAMERIHEALTH 65 PA
PA680764OtherHIGHMARK BLUE SHIELD
PA001844611Medicaid
PA20055661OtherAMERIHEALTH MERCY-WMG
PA186678OtherUNISON-WMG
PA203884OtherJOHNS HOPKINS
PA50059815OtherCAPITAL BLUE CROSS-WMG
PA5784725OtherAETNA
PA1517816OtherGATEWAY-WMG
PA6937OtherGEISINGER
PA5784725OtherAETNA
PA186678OtherUNISON-WMG
PA20055661OtherAMERIHEALTH MERCY-WMG
PA048770YJSMedicare UPIN
PA125308YJOMedicare PIN
PAG19246Medicare UPIN
PA680764OtherHIGHMARK BLUE SHIELD