Provider Demographics
NPI:1386616910
Name:WALKER, SCOTT E (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:E
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:PO BOX 1460
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22402-1460
Mailing Address - Country:US
Mailing Address - Phone:540-786-2100
Mailing Address - Fax:540-786-6673
Practice Address - Street 1:1451 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8424
Practice Address - Country:US
Practice Address - Phone:540-899-5864
Practice Address - Fax:540-372-2023
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237076207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101237076OtherLICENSE
VA3633117OtherAETNA HMO
VA2127915OtherMAMSI
VA010170362Medicaid
VA7803098OtherAETNA NON HMO
VACA9037OtherMCR RAILROAD GROUP
VAP00274787OtherMEDICARE RAILROAD
VA146716OtherANTHEM
VAC02375OtherMEDICARE GROUP
VA006730P75Medicare PIN
VAP00274787OtherMEDICARE RAILROAD
VACA9037OtherMCR RAILROAD GROUP