MEREDITH WALL (NPI# 1043435928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043435928 |
| Entity Type | Individual |
| Full Name | MEREDITH WALL |
| Credential | PA-C |
| Practice Address |
7 Campus Drive Intermed Onsite At Llbean Freeport ME 04032 |
| Practice Telephone | 2075527453 |
| Practice Fax Number | 2075527129 |
| Mailing Telephone | 2075527453 |
| Mailing Fax Number | 2075527129 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1521 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2309 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891129052 | Meredith Wall | Physical Therapist | 1616 N Litchfield Rd, Suite 115, Goodyear, AZ 85395-1252 | 2013-08-23 |
| Street Address |
7 CAMPUS DRIVE INTERMED ONSITE AT LLBEAN |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| 1104872639 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 200 Lower Main St, Freeport, ME 04032 | 2006-05-26 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539705 | Rocio Romero | Physician Assistant | 385 W Sunrise Hwy, Freeport, NY 11520-3120 | 2017-10-23 |
| 1083154793 | Chelsea Elizabeth Rios | Physician Assistant | 129 W Sunrise Hwy, Freeport, NY 11520-3559 | 2017-02-28 |
| 1497115687 | Sylvana Lora | Physician Assistant | 53 W Merrick Rd, Freeport, NY 11520-3709 | 2016-03-01 |
| 1881097186 | Desiree Viviano | Physician Assistant | 5 Jeffrey Ct, Freeport, NY 11520-5711 | 2014-09-30 |
| 1811316508 | Patricia Mompoint | Physician Assistant | 71 Rose St, Freeport, NY 11520-4321 | 2014-04-10 |
| 1407292220 | Lauren Neighbors Youtz | Physician Assistant | 479 E. Hwy 20, Freeport, FL 32439 | 2013-05-20 |
| 1902115595 | David Johnson | Physician Assistant | 939 S Long Beach Ave, Freeport, NY 11520-6306 | 2010-09-29 |
| 1891946240 | Cedric Charles Wallace | Physician Assistant | 20 Coolidge Pl, Freeport, NY 11520-2543 | 2008-10-03 |
| 1609817188 | Nicole Ann Leggio | Physician Assistant | 60 Guy Lombardo Ave, Jacqueline Delmont Md PC, Freeport, NY 11520 | 2006-06-08 |
| 1346229135 | Sharmae Riguey Kray | Physician Assistant | 1002 Abc Ave Ste 600, Freeport, TX 77541-3889 | 2006-01-11 |
| Find all providers in FREEPORT | ||||
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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.