DR. MARK S WALD (NPI# 1194716688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194716688 |
| Entity Type | Individual |
| Full Name | DR. MARK S WALD |
| Credential | M.D. |
| Practice Address |
6 Jungermann Cir Suite 210 Saint Peters MO 63376-1621 |
| Mailing Address |
11133 Dunn Rd Suite 2335 Saint Louis MO 63136-6119 |
| Practice Telephone | 6364416056 |
| Mailing Telephone | 3146535007 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036081636 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
R8691 | MO | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
036081636 | IL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
R8691 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE PSC | 29007538 | 01 |
| MO | 201751005 | 05 | |
| MO | RR MEDICARE PCI | 290009909 | 01 |
| Street Address |
6 JUNGERMANN CIR SUITE 210 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639423742 | Bjsph Physician Billing Services, LLC | Clinic/Center | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1621 | 2012-10-29 |
| 1699001958 | Tatyana Petrosova, M.d.p.c. | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2009-10-21 |
| 1821245457 | Subbarao Polineni, M.d. PC | Orthopaedic Surgery | 6 Jungermann Cir, Ste 107, Saint Peters, MO 63376-1621 | 2008-08-26 |
| 1487801635 | Laura Wagner, Inc | Specialist | 6 Jungermann Cir, Suite 211, Saint Peters, MO 63376-1621 | 2008-08-19 |
| 1114193083 | Jennifer L Keen | Nurse Practitioner | 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376-1621 | 2008-05-01 |
| 1255522819 | Respiratory Disease Consultants, LLC | Internal Medicine | 6 Jungermann Cir, Suite 121, Saint Peters, MO 63376-1621 | 2007-08-07 |
| 1396945168 | St. Charles Nephrology | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2007-07-20 |
| 1629132519 | Josephine May Kelly | Psychologist | 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376-1621 | 2006-12-22 |
| 1093878258 | Ron Javdan | Internal Medicine | 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376-1621 | 2006-12-19 |
| 1578630638 | William F Sill | Family Medicine | 6 Jungermann Cir, 108, Saint Peters, MO 63376-1621 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1255522819 | Respiratory Disease Consultants, LLC | Internal Medicine | 6 Jungermann Cir, Suite 121, Saint Peters, MO 63376-1621 | 2007-08-07 |
| 1316938863 | Alan D Brook | Internal Medicine | 6 Jungermann Cir, Suite 210, Saint Peters, MO 63376-1621 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700365707 | Telemedico Physicians of Missouri | Internal Medicine | 9191 N Ambassador Dr, Kansas City, MO 64154-7247 | 2018-08-09 |
| 1851807291 | David Terry Curiel | Internal Medicine | 4950 Childrens Pl Ste 10130, Saint Louis, MO 63110-1000 | 2017-12-21 |
| 1598011694 | Mohannad Naheid I Abu Omar | Internal Medicine | 5301 Faraon St Ste 210a, Saint Joseph, MO 64506-3512 | 2012-07-26 |
| 1922381615 | Critical Care Pulmonary & Sleep Medicine Assoc LLC | Internal Medicine | 1390 Highway 61 Ste 2300, Festus, MO 63028-4121 | 2011-09-20 |
| 1851671689 | Mid-mo Lung Associates, LLC | Internal Medicine | 1801 Brookfield Mnr, Columbia, MO 65203-6246 | 2011-08-24 |
| 1245535459 | Midwest Acute Care Consultants, PC | Internal Medicine | 6698 Keaton Corporate Pkwy Ste 101, O Fallon, MO 63368-8727 | 2011-01-19 |
| 1699083451 | Hamza Alshami | Internal Medicine | 2330 E Meyer Blvd Ste T303, Kansas City, MO 64132-1160 | 2010-09-15 |
| 1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
| 1841448198 | Pulmonary Critical Care and Sleep Medicine, LLC | Internal Medicine | 3009 New Ballas Road, Suite 256c, St. Louis, MO 63131-2322 | 2008-08-28 |
| 1366698573 | Steven Weintraub | Internal Medicine | 4475 W Pine Blvd, 1102, Saint Louis, MO 63108-2358 | 2008-08-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on DR. MARK S WALD.
| 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.