MR. MICHAEL DWAYNE WALL (NPI# 1386794717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386794717 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DWAYNE WALL |
| Credential | PA, ATC, PTA, CEAS |
| Practice Address |
7557 Dannaher Way Suite 230 Powell TN 37849-3558 |
| Mailing Address |
217 John Bouldin Dr Maryville TN 37801-1902 |
| Practice Telephone | 8659385222 |
| Practice Fax Number | 8659385264 |
| Mailing Telephone | 8658982356 |
| Mailing Fax Number | 8659385264 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 3396 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
110102223 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | PENDING | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
| 1669799805 | Michael Wayne Wall | Counselor | 784 W Lebanon St, Mount Airy, NC 27030-2218 | 2010-04-28 |
| 1932346897 | Michael Vincent Wall | Dentist | 3552 W Glendale Ave, Ste. B, Phoenix, AZ 85051-8358 | 2009-01-14 |
| 1053520593 | Michael Lee Wall II | Chiropractor | 13412 Pacific Ave S, Tacoma, WA 98444-4866 | 2007-05-22 |
| 1194940924 | Michael James Wall | Dentist | 45 1048 Kam Hwy, Suite B, Kaneohe, HI 96744 | 2007-04-16 |
| 1063552586 | Michael Patrick Wall | Social Worker | 692 Ritchie Hwy, Suite 203, Severna Park, MD 21146-3919 | 2007-02-07 |
| 1396842589 | Michael Shane Wall | Dentist | 506 Gentilly Road, Statesboro, GA 30458 | 2006-09-20 |
| 1780616847 | Michael S Wall | Orthopaedic Surgery | 500 Arguello St, Ste 100, Redwood City, CA 94063 | 2006-07-07 |
| 1235600529 | Michael Wall | Community Health Worker | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2018-12-11 |
| 1407244007 | Michael Andrew Wall | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2015-01-05 |
| Street Address |
7557 DANNAHER WAY SUITE 230 |
| City | POWELL |
| State | TN |
| Zip Code | 37849-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593814 | Brian D Parker | Urology | 7557 Dannaher Way, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| 1427489004 | Elizabeth Doan | Physical Therapist | 7557 Dannaher Way, Suite G10, Powell, TN 37849-3558 | 2013-12-06 |
| 1144569575 | Melissa Diane Riggs | Physical Therapist | 7557 Dannaher Way, Suite G30, Powell, TN 37849-3558 | 2013-02-05 |
| 1053649236 | Jennifer U Hausladen | Audiologist | 7557 Dannaher Way, Suite 210, Powell, TN 37849-3558 | 2009-11-25 |
| 1881852648 | Justin Wayne Hiday | Physical Therapist | 7557 Dannaher Way, Powell, TN 37849-3558 | 2008-05-29 |
| 1932318284 | Tennessee Urology Associates, Pllc | Urology | 7557 Dannaher Way, Suite 230, Powell, TN 37849-3558 | 2007-05-22 |
| 1942397542 | Donald Adam Knies | Physical Therapist | 7557 Dannaher Way, Suite G30, Powell, TN 37849-3558 | 2006-10-06 |
| 1225145279 | Fred Neal Peebles | Surgery | 7557 Dannaher Way, Suite 110, Powell, TN 37849 | 2006-08-24 |
| 1588666036 | Steven Ray Moffett | Obstetrics & Gynecology | 7557 Dannaher Way, Suite 140, Powell, TN 37849-3558 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
| 1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
| 1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
| 1497909428 | Carolyn E Pendergast | Occupational Therapist | 7557 Dannaher Lane, Suite G30, Powell, TN 37849 | 2008-11-04 |
| 1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
| Find all providers in zip 37849 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467834838 | Robert Stephen Edmonds | Physician Assistant | 7540 Lancashire Blvd, Powell, TN 37849-3784 | 2015-06-22 |
| 1275721193 | Roxanne Kay Herman | Physician Assistant | 231 W 6th St, Powell, WY 82435-1898 | 2007-10-04 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1144704289 | Joseph Davidson | Physician Assistant | 128 N Bent St, Powell, WY 82435-2712 | 2018-09-24 |
| 1578073219 | Ashley Lynn Shehane | Physician Assistant | 7545 Barnett Way, Powell, TN 37849-3565 | 2017-10-09 |
| 1952751075 | Amy Buck | Physician Assistant | 777 Avenue H, Powell, WY 82435-2260 | 2016-06-20 |
| 1063870616 | Brett Garvey | Physician Assistant | 234 E Emory Rd, Powell, TN 37849-4015 | 2016-02-10 |
| 1306236534 | Tennessee Em-i Medical Services PC | Physician Assistant | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2015-01-26 |
| 1851662498 | Lauren L. Clear | Physician Assistant | 7714 Conner Rd Ste 103, Powell, TN 37849-3559 | 2012-01-12 |
| 1821372061 | Sara Ruth Hughes | Physician Assistant | 201 E Emory Rd, Powell, TN 37849 | 2011-10-06 |
| Find all providers in POWELL | ||||
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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.