Dr. Michael Stephen Walker, M.D.
Pediatrics in Ponca City, OK. Individual provider (NPI-1).
NPI number1073667390
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1073667390
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Stephen Walker
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2007
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 17720 | OK | Yes |
Practice location
415 Fairview Ave Ste 100Ponca City, OK 74601-1923
Phone 580-765-5569 · Fax 580-765-2020
Mailing address
415 Fairview Ave Ste 100Ponca City, OK 74601-1923
Phone 580-765-5569 · Fax 580-765-2020
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