Provider Demographics
NPI:1861455131
Name:WALKER, STEVEN S (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:S
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 COLLINGSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3740
Mailing Address - Country:US
Mailing Address - Phone:614-486-8252
Mailing Address - Fax:
Practice Address - Street 1:745 W STATE ST
Practice Address - Street 2:STE 750
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1515
Practice Address - Country:US
Practice Address - Phone:614-224-2281
Practice Address - Fax:614-221-8869
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046956W207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
060054842OtherRAILROAD MEDICARE
2501762OtherUNITED HEALTHCARE
00000000197958OtherANTHEM BCBS
31054OtherNATIONWIDE
289254OtherBLACK LUNG
9881982OtherCIGNA
OH0522885Medicaid
OH060038976OtherRAILROAD MEDICARE
2501761OtherUNITED HEALTHCARE
2501762OtherUNITED HEALTHCARE
060054842OtherRAILROAD MEDICARE
WA0879893Medicare ID - Type Unspecified