JILLIAN MARIE WALL (NPI# 1326321084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326321084 |
| Entity Type | Individual |
| Full Name | JILLIAN MARIE WALL |
| Credential | M.D. |
| Practice Address |
1919 E Thomas Rd Phoenix AZ 85016-7710 |
| Mailing Address |
3200 E Camelback Rd Ste 250 Phoenix AZ 85018-2327 |
| Practice Telephone | 6029330777 |
| Practice Fax Number | 6029330755 |
| Mailing Telephone | 6029331814 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | P9987 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A118542 | CA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 52240 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 337651901 | 05 | |
| TX | 337651902 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4900 Mueller Blvd, Austin, TX 787233079 | 5123240165 |
| Street Address |
1919 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162953 | Richard N Southard | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2005-05-31 |
| 1265049472 | Chelsea Agricola | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-30 |
| 1871109686 | Madeline Rose Mcnamee | Audiologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-17 |
| 1699380212 | Lindsey N Manz | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-10 |
| 1376156331 | Jena Paige Buck | Occupational Therapist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1386257244 | Alia Torfa | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1336751999 | Cassandra E Martinez | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-17 |
| 1811508708 | Clara A Hart | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-13 |
| 1811505571 | Daniela M Giralt | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-20 |
| 1902424179 | Soren B Mickelsen | Speech-Language Pathologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853691 | Leading Health Care, Pllc | Hospitalist | 22922 N 40th Pl, Phoenix, AZ 85050-8742 | 2017-10-26 |
| 1942749619 | Bh Hospital Specialists, LLC | Hospitalist | 25437 N Moon Blossum Ln, Phoenix, AZ 85083-1676 | 2017-02-14 |
| 1851746440 | Jonmark Moorington | Hospitalist | 1919 E Thomas Rd., Phoenix Children's Hospital, Phoenix, AZ 85016 | 2016-05-02 |
| 1629432190 | Mina Albadri | Hospitalist | 350 W Thomas Rd Ste 900a, Phoenix, AZ 85013-4409 | 2016-04-11 |
| 1396117933 | Jr Healthcare Consultants LLC | Hospitalist | 807 W Colter St Apt 88, Phoenix, AZ 85013-2296 | 2015-10-22 |
| 1336674100 | Nabiha Khalil | Hospitalist | 350 W Thomas Road, Phoenix, AZ 85013 | 2017-04-28 |
| 1477088474 | Shan Zhong | Hospitalist | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2017-04-27 |
| 1508398165 | Lauren Suzanne Cole | Hospitalist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2017-03-31 |
| 1790132744 | Meg Louise Groom | Hospitalist | 1111 E. Mcdowell Rd, Banner Good Samaritan Regional Medical Center, Phoenix, AZ 85006 | 2016-05-19 |
| 1669828612 | Rachel Thurston Neville | Hospitalist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2016-05-09 |
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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.