MR. DAVID LOUIS WALLER JR.


Address: 60 Township Line Rd, Elkins Park, PA 19027-2220
Phone: 2156636800

MR. DAVID LOUIS WALLER JR. (NPI# 1023242286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023242286
Entity Type Individual
Full Name MR. DAVID LOUIS WALLER JR.
Credential PA-C
Practice Address 60 Township Line Rd
Elkins Park
PA 19027-2220
Mailing Address 7435 Elizabeth Rd
Elkins Park
PA 19027-3322
Practice Telephone 2156636800
Practice Fax Number 2156636547
Mailing Telephone 2157822223
Mailing Fax Number 2157821066
Enumeration Date 2009-05-03
Last Update Date 2009-05-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MA001013L PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers DAVID WALLER

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1881716603 David Waller Psychologist 105 M St Ne, Auburn, WA 98002-4430 2007-04-04
1023195781 David M. Waller Chiropractor 2455 Ridge Rd, Ste. 147, Rockwall, TX 75087-5529 2006-11-01
1518966688 David F Waller Family Medicine 4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048 2005-07-20
1588728471 David A Waller Psychiatry & Neurology 5323 Harry Hines Blvd, Dallas, TX 75390-7208 2006-12-22

Office Location

Street Address 60 TOWNSHIP LINE RD
City ELKINS PARK
State PA
Zip Code 19027-2220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326041559 Kristie Y Kim Acupuncturist 60 Township Line Rd, Elkins Park, PA 19027-2220 2005-05-23
1235605627 Erin Gaffney Occupational Therapist 60 Township Line Rd, Elkins Park, PA 19027-2220 2018-10-23
1750875852 Sarah Elizabeth Lamberton Physical Therapist 60 Township Line Rd, Elkins Park, PA 19027-2220 2018-06-21
1245748375 Jessica Marie Zarzycki Physician Assistant 60 Township Line Rd, Elkins Park, PA 19027-2220 2018-01-10
1811348931 Mohamed Ahmed Internal Medicine 60 Township Line Rd, Elkins Park, PA 19027-2220 2016-06-29
1760820203 Brenda E Castillo Physical Medicine & Rehabilitation 60 Township Line Rd, Elkins Park, PA 19027 2013-06-06
1861838237 Michael J Kwasniewski Physical Medicine & Rehabilitation 60 Township Line Rd, Elkins Park, PA 19027-2220 2013-05-13
1497090484 Daniel J Leichter Psychologist 60 Township Line Rd, Elkins Park, PA 19027-2220 2012-12-03
1962779033 Annette Michelle Schanz Physician Assistant 60 Township Line Rd, Elkins Park, PA 19027-2220 2011-11-17
1528343647 Sheryl Berardinelli Clinical Neuropsychologist 60 Township Line Rd, Suite 28, Elkins Park, PA 19027-2220 2011-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740817915 Dulie Rene Nurse Practitioner 7801 Old York Road, Elkins Park, PA 19027 2020-03-26
1003384926 Mikael Laursen Brucker Acupuncturist 710 Meetinghouse Rd, Elkins Park, PA 19027 2018-11-08
1992289466 Paragon Home Care LLC In Home Supportive Care 8116 Old York Rd., Suite 200, Elkins Park, PA 19027 2018-09-20
1932697406 Elkins Park Chiropractic Center LLC Chiropractor 1831 W. Cheltenham Ave, Elkins Park, PA 19027 2018-04-30
1952802589 Bilingual Brain Inc. Speech-Language Pathologist 610 Old York Road Suite 400, Jenkintown, PA 19027 2018-02-28
1063925618 Love Thy Neighbor Care Service, LLC In Home Supportive Care 939 Township Line Rd Unit 3, Elkins Park, PA 19027 2017-11-06
1679029821 Mosley Group Inc Home Health 7208 Chestnut Ave, 1, Melrose Park, PA 19027 2016-08-28
1740638576 Einstein Medical Center Specialist 60 Township Line Road, Elkins Park, PA 19027 2016-06-02
1457720385 Effraim Home Care Agency LLC Home Health 2001a South John Russell Circle, Elkins Park, PA 19027 2015-09-22
1083044531 Liberty Human Services, LLC Community/Behavioral Health 7689, Washington Lane, Apt. B, Elkins Park, PA 19027 2013-11-20
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962779033 Annette Michelle Schanz Physician Assistant 60 Township Line Rd, Elkins Park, PA 19027-2220 2011-11-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205450087 Mary Baich Physician Assistant 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 2020-06-08
1972145134 Emilie A Simone Physician Assistant 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 2019-10-09
1518524339 Nicholas Vernoy Smith Physician Assistant 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 2019-05-28
1689131757 Amanda Furst Physician Assistant 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 2019-02-26
1659845295 Alexis Kimes Physician Assistant 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 2019-01-16
1427530831 Jordan L Ball Physician Assistant 30 Hope Dr # 1200, Hershey, PA 17033-2036 2018-08-31
1740707298 Robyn Mcnamee Physician Assistant 142 Clearview Cir Ste 110, Butler, PA 16001-1565 2017-08-25
1831648336 Hollie Anne Ramaley Physician Assistant 624 E End Ave, Pittsburgh, PA 15221-3424 2016-09-25
1083169890 Ellen Cannon Physician Assistant 1023 Marlin Dr, West Chester, PA 19382-2360 2016-08-22
1295182491 Emily Tercek Physician Assistant 620 Howard Ave Fl 7, Altoona, PA 16601-4804 2016-05-17
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Competitor

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City ELKINS PARK
Zip Code 19027

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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