ELIZABETH WALLEN (NPI# 1285634071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285634071 |
| Entity Type | Individual |
| Full Name | ELIZABETH WALLEN |
| Credential | MD |
| Practice Address |
20 Calle Cal Santa Fe NM 87508 |
| Mailing Address |
20 Calle Cal Santa Fe NM 87508-9158 |
| Practice Telephone | 6142668533 |
| Mailing Telephone | 6142668533 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 35055437 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35-055437 | OH | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD43857E | PA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 35.055437 | OH | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD000025868 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0665945 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 318 E Sycamore St, Columbus, OH 432062242 | 6142668533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831336932 | Elizabeth P Wallen | Physical Therapist | 145 George St, Beckley, WV 25801-2607 | 2009-01-11 |
| 1225241755 | Elizabeth Annette Autumn Wallen | Social Worker | 428 Biltmore Ave, Asheville, NC 28801-4502 | 2007-05-08 |
| 1821049917 | Elizabeth Wallen | Psychologist | 600 Reed St, Suite 115, Mankato, MN 56001-6410 | 2006-05-13 |
| Street Address |
20 CALLE CAL |
| City | SANTA FE |
| State | NM |
| Zip Code | 87508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516683 | Margarita Ibarra | Registered Nurse | 54th Church Hill Rd, Santa Fe, NM 87508 | 2020-07-28 |
| 1164854097 | Eldorado Audiology and Hearing Center | Audiologist-Hearing Aid Fitter | 5 Caliente Road, #5a, Santa Fe, NM 87508 | 2013-08-02 |
| 1538500194 | Leslie Rachelle Hughes | Acupuncturist | 10 View Haven, Santa Fe, NM 87508 | 2013-07-11 |
| 1669712923 | Michael Allan Budnik | Social Worker | 8 El Cerro Trail, Santa Fe, NM 87508 | 2013-02-25 |
| 1093986226 | Hand and Upper Extremity | Occupational Therapist | 34 Aster Rd, Santa Fe, NM 87508 | 2008-03-15 |
| 1801955190 | Robert Wesley Mckinnie | Psychologist | 3 Encantado Loop, Santa Fe, NM 87508 | 2006-12-06 |
| 1124108949 | John David Becker | Family Medicine | 7 Avenida Vista Grande Ste D-6, Santa Fe, NM 87508 | 2006-10-16 |
| 1316982440 | Lauren Rose | Physical Therapist | 9 Frasco Way, Santa Fe, NM 87508 | 2006-06-20 |
| 1255387734 | Silverstone Healthcare of Santa Fe II, LLC | Alzheimer Center (Dementia Center) | 1650 Galisteo St, Santa Fe, NM 87508 | 2006-05-26 |
| 1891790192 | Lawrence G Wayburn | Radiology | 2 Big Bear Pl, Santa Fe, NM 87508 | 2005-06-15 |
| Find all providers in zip 87508 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275976284 | Clive Levine | General Practice | 508 Los Nidos Dr, Santa Fe, NM 87501-8356 | 2013-04-09 |
| 1851595326 | Cynthia Ann Knudson | General Practice | 1114 Hickox, Santa Fe, NM 87501 | 2007-06-11 |
| 1891900981 | Space Center Ipa Pa | General Practice | 12902 Cloud Dr, Santa Fe, TX 77510-9345 | 2007-05-11 |
| 1346469616 | John Sullivan Stafford | General Practice | 4226 Warpath Ave, Santa Fe, TX 77510-8615 | 2007-04-25 |
| 1255471926 | Ann Mccampbell | General Practice | 11 Esquila Rd, Santa Fe, NM 87508-8739 | 2007-02-08 |
| 1396704565 | Jeffrey J Hawkins | General Practice | 73 Paseo Del Paisano, Santa Fe, NM 87506-7984 | 2006-03-17 |
| 1447238159 | Andrew Langsam | General Practice | 3450 Zafarano Dr, Suite C, Santa Fe, NM 87507-2669 | 2006-01-03 |
| 1144627332 | St. Vincent Hospital | General Practice | 5501 Herrera Dr, Santa Fe, NM 87507-2684 | 2014-12-03 |
| 1790045839 | Joan Baumbach | General Practice | 1190 S Saint Francis Dr, N1350, Santa Fe, NM 87505-4173 | 2012-05-23 |
| 1457583049 | Tieraona Low Dog | General Practice | 3600 Cerrillos Rd, Suite 712, Santa Fe, NM 87507-2612 | 2009-08-14 |
| Find all providers in SANTA FE | ||||
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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.