MICHAEL ANDREW WALL (NPI# 1407244007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407244007 |
| Entity Type | Individual |
| Full Name | MICHAEL ANDREW WALL |
| Credential | PA-C |
| Practice Address |
1515 Sunset Ave Clinton NC 28328-3827 |
| Mailing Address |
308 Dolphin Dr Jacksonville NC 28546-5266 |
| Practice Telephone | 9105924000 |
| Practice Fax Number | 9105924007 |
| Mailing Telephone | 9103462273 |
| Mailing Fax Number | 9103461907 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-05421 | NC | 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 |
| 1356657472 | Michael Wall | Massage Therapist | 18920 Bothell Way Ne, #204, Bothell, WA 98011-1981 | 2010-08-26 |
| Street Address |
1515 SUNSET AVE |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780994376 | Karika Partilia Watkins-hill | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2010-10-15 |
| 1255998944 | Simpleclinic Pllc | Nurse Practitioner | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2019-05-29 |
| 1841710068 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| 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 |
|---|---|---|---|---|
| 1700419041 | Alexander Sorokin Flecker | Physician Assistant | 200b Eager St, Clinton, MS 39056-4545 | 2020-02-14 |
| 1477190668 | Kimberly Mcraney Watson | Physician Assistant | 907 Oakhill Cir, Clinton, MS 39056-3743 | 2019-12-06 |
| 1649630229 | Elizabeth Atuya | Physician Assistant | 9135 Piscataway Rd Ste 102, Clinton, MD 20735-2548 | 2016-02-25 |
| 1780994376 | Karika Partilia Watkins-hill | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2010-10-15 |
| 1184860827 | George L Carter | Physician Assistant | 10215 Deep Creek Ct, Clinton, MD 20735-5833 | 2008-12-31 |
| 1356471767 | Ann Rebecca Bartholomew | Physician Assistant | 1407 N 2000 W Ste G, Clinton, UT 84015-8563 | 2007-03-06 |
| 1598827172 | Akosua Flora Amankwah Wright | Physician Assistant | 7501 Surratts Rd Ste 303, Clinton, MD 20735-3377 | 2006-12-13 |
| 1356447882 | Mark Goodrich | Physician Assistant | 1477 North 2000 West, Westside Medical, Clinton, UT 84015 | 2006-09-15 |
| 1467556787 | Melanie Decock Wilson | Physician Assistant | 2900 S 25th St Ste B2, Clinton, IA 52732-7250 | 2006-09-08 |
| 1740206630 | Kolleen Marchand | Physician Assistant | 1477 N 2000 W, Clinton, UT 84015-8638 | 2006-07-14 |
| Find all providers in CLINTON | ||||
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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.