MATTHEW WALL (NPI# 1114016581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114016581 |
| Entity Type | Individual |
| Full Name | MATTHEW WALL |
| Credential | MD |
| Practice Address |
1504 Taub Loop Houston TX 77030-1608 |
| Practice Telephone | 7138738890 |
| Practice Fax Number | 7138738898 |
| Mailing Telephone | 7138738890 |
| Mailing Fax Number | 7138738898 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G8487 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718461 | Matthew Wall | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7709 | 2020-04-04 |
| 1083247209 | Matthew Tyler Wall | Student in an Organized Health Care Education/Training Program | 1919 7th Ave S, Birmingham, AL 35233-2005 | 2020-02-17 |
| 1902461742 | Matthew Wall | Case Manager/Care Coordinator | 10 West St, Concord, NH 03301-3548 | 2019-05-07 |
| 1114253846 | Matthew D Wall | Dentist | 5320 Corporate Center Loop Se, Lacey, WA 98503-5557 | 2009-10-31 |
| 1629214820 | Matthew Ryan Wall | Dentist | 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 | 2008-12-18 |
| 1952500662 | Matthew Wall | Internal Medicine | 118 Northport Ave, Belfast, ME 04915-6009 | 2007-07-12 |
| Street Address |
1504 TAUB LOOP |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747671 | Jeffrey Chad Hardy | Pharmacist | 1504 Taub Loop, Houston, TX 77030-1608 | 2005-06-01 |
| 1811507155 | Jason Schrom | Registered Nurse | 1504 Taub Loop, Houston, TX 77030-1608 | 2020-08-02 |
| 1154948628 | Joanna Juanita Palma | Registered Nurse | 1504 Taub Loop, Houston, TX 77030-1608 | 2020-07-01 |
| 1861015331 | Nina Dawn Moore | Registered Nurse | 1504 Taub Loop, Houston, TX 77030-1608 | 2020-05-19 |
| 1639790025 | Samantha Arsenault | Student in an Organized Health Care Education/Training Program | 1504 Taub Loop, Houston, TX 77030-1608 | 2020-04-27 |
| 1992349526 | Trenace Jones | Social Worker | 1504 Taub Loop, Houston, TX 77030-1608 | 2019-11-06 |
| 1669013801 | Victoria Shay | Registered Nurse | 1504 Taub Loop, Houston, TX 77030-1608 | 2019-09-29 |
| 1952952160 | Ifechukwudeny Bishop Okwuoyibo | Registered Nurse | 1504 Taub Loop, Houston, TX 77030-1608 | 2019-09-28 |
| 1356992887 | Hannah Lutz | Physician Assistant | 1504 Taub Loop, Houston, TX 77030-1608 | 2019-09-25 |
| 1447814280 | Melissa Miranda | Nurse Practitioner | 1504 Taub Loop, Houston, TX 77030-1608 | 2019-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1033775689 | Richard Harold Lynch | Surgery | 842 Country Ln, Houston, TX 77024-3106 | 2019-05-18 |
| 1629632260 | Vein Clinics of Texas | Surgery | 2024 Richmond Ave Ste 300, Houston, TX 77098-3424 | 2019-04-29 |
| 1063982080 | International Center for Neuroscience | Surgery | 4141 Southwest Fwy Ste 200, Houston, TX 77027-7387 | 2018-12-03 |
| 1245709344 | Mgh Surgical Care Pllc | Surgery | 10130 Louetta Rd Ste A-2, Houston, TX 77070-2118 | 2018-11-19 |
| 1275039521 | Courtney Olsen | Surgery | 1603 Tabor St, Houston, TX 77009-2516 | 2018-04-04 |
| 1972002525 | L Camp LLC | Surgery | 1725 Main St Ste 2, Houston, TX 77002-8142 | 2018-02-09 |
| 1184122939 | Nh Provider Network Pllc | Surgery | 11700 Katy Fwy Ste 300, Houston, TX 77079-1218 | 2018-01-26 |
| 1871008961 | Principle Spine and Joint Institute | Surgery | 16840 Buccaneer Ln Ste J, Houston, TX 77058-2507 | 2017-12-11 |
| Find all providers in HOUSTON | ||||
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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.