MICHAEL N WALL, MD (NPI# 1063678894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063678894 |
| Entity Type | Organization |
| Organization Name | MICHAEL N WALL, MD |
| Practice Address |
4085 De Zavala Rd Suite 200 Shavano Park TX 78249-2084 |
| Mailing Address |
Po Box 1606 San Antonio TX 78296-1606 |
| Practice Telephone | 2105586288 |
| Practice Fax Number | 2105586289 |
| Mailing Telephone | 2105586299 |
| Mailing Fax Number | 2105586289 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | DR. MICHAEL N WALL (PRESIDENT) |
| Authorized Official Telephone | 2105586288 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
G1227 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 035387201 | 05 |
| Street Address |
4085 DE ZAVALA RD SUITE 200 |
| City | SHAVANO PARK |
| State | TX |
| Zip Code | 78249-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248911 | Joyce Gensberg Schwartz | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249 | 2005-07-08 |
| 1518327568 | Sigma Physician Associates Pllc | Internal Medicine | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2016-03-03 |
| 1326334392 | Michael Maloy Jr. | Internal Medicine | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2011-06-28 |
| 1902106347 | Melina Shabani | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2010-11-02 |
| 1114048899 | Constantine Theoharis | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2007-04-02 |
| 1962522508 | Emily Frances Gorman | Pathology | 4085 De Zavala Rd, Shavano Park, TX 78249-2084 | 2007-03-29 |
| 1134231186 | Shakil H Merchant | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-08-31 |
| 1902846033 | Paula R Larson | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| 1013957265 | Stephen L Cunningham | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| 1265472310 | John H Stuckey | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639118730 | Michael N. Wall | Internal Medicine | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
| City | SHAVANO PARK |
| Zip Code | 78249 |
Please comment or provide details below to improve the information on MICHAEL N WALL, MD.
| 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.