Radnor Family Practice Professional Limited Liability Company
NPI 1750407144ActiveOrganization· Family Medicine· Wayne, PA
Family Medicine in Wayne, Pennsylvania, registered in NPPES in March 2007, part of Radnor Family Practice Professional Limited Liability Company. The authorized official on file is Rocklan David Walker, D.O., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750407144 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Radnor Family Practice Professional Limited Liability Company |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Feb 23, 2022 |
| Certified by provider | Feb 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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