WALKER SPINE AND SPORTS SPECIALISTS
NPI 1790872109
Neuromusculoskeletal Medicine, Sports Medicine in Idaho Falls, ID

NPI Status: Active since October 06, 2006

Contact Information

2319 CORONADO ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 227-1200
Fax: (208) 227-1212

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  • Organization
  • Neuromusculoskeletal Medicine, Sports Me...
  • Accepts Insurance

About WALKER SPINE AND SPORTS SPECIALISTS

This page provides the complete NPI Profile along with additional information for Walker Spine And Sports Specialists, a provider established in Idaho Falls, Idaho operating as a Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1790872109 assigned on October 2006. The practitioner's primary taxonomy code is 204C00000X with license number E65389 (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gary C Walker Md (Owner)

NPI
1790872109
Provider Name
WALKER SPINE AND SPORTS SPECIALISTS
Entity Type
Organization
Location Address
2319 CORONADO ST IDAHO FALLS, ID 83404
Location Phone
(208) 227-1200
Location Fax
(208) 227-1212
Mailing Address
2319 CORONADO ST IDAHO FALLS, ID 83404
Mailing Phone
(208) 227-1200
Mailing Fax
(208) 227-1212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2006
Last Update Date
03-10-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Code
204C00000X
Type
Allopathic & Osteopathic Physicians
License No.
E65389
License State
ID
Taxonomy Description
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GARY C WALKER MD

Authorized Official Title
OWNER
Authorized Official Phone
(208) 227-1200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DA4495OTHER (01)IDRAILROAD MEDICARE
806811100MEDICAID (05)ID 
8H989OTHER (01)IDBLUE CROSS
204221200OTHER (01)IDUS DEPT OF LABOR
000010140195OTHER (01)IDREGENCE BLUE SHIELD
1376013MEDICARE ID-TYPE UNSPECIFIED (04)IDMEDICARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790872109, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 6 + 7 + 4 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1790872109.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Neuromusculoskeletal Medicine, Sports Medicine
2319 CORONADO ST
IDAHO FALLS, ID 83404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790872109, enumerated as an "organization" on October 06, 2006.

The provider is located at 2319 CORONADO ST IDAHO FALLS, ID 83404 and the phone number is (208) 227-1200.

Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Railroad Medicare,. Please consult your insurance carrier or call the provider to verify.