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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
60 TOWNSHIP LINE RD |
City | ELKINS PARK |
State | PA |
Zip Code | 19027-2220 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 19027 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962779033 | Annette Michelle Schanz | Physician Assistant | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2011-11-17 |
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 |
Find all providers with the same taxonomy |
City | ELKINS PARK |
Zip Code | 19027 |
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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.