DR. WALTER RUDOLPH WALLINGFORD (NPI# 1427132695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427132695 |
| Entity Type | Individual |
| Full Name | DR. WALTER RUDOLPH WALLINGFORD |
| Credential | M.D. |
| Practice Address |
2115 Executive Dr Suite 6c Hampton VA 23666-2499 |
| Practice Telephone | 7578747246 |
| Practice Fax Number | 7578269415 |
| Mailing Telephone | 7578747246 |
| Mailing Fax Number | 7578269415 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
0101024223 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMERCIAL INSURANCE | 541005350 | 01 | |
| VA | OPTIMA | 15635 | 01 |
| VA | 006045847 | 05 | |
| VA | 15635 | 15635 | 01 |
| VA | ANTHEM BLUE CROSS & BLUE | 002129 | 01 |
| Street Address |
2115 EXECUTIVE DR SUITE 6C |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023189 | Elizabeth Anne Williams | Counselor | 2115 Executive Dr, Ste 9c, Hampton, VA 23666-2410 | 2005-06-16 |
| 1457602351 | Bryce Quinn | Dentist | 2115 Executive Dr, Suite 8c, Hampton, VA 23666-2499 | 2012-10-02 |
| 1386916278 | E Wayne Haga Md Family Practice PC | Family Medicine | 2115 Executive Dr, Suite 3a, Hampton, VA 23666-2499 | 2012-02-07 |
| 1922307909 | Better Life Services, Inc. | Community/Behavioral Health | 2115 Executive Dr, Suite 9-c, Hampton, VA 23666-2499 | 2011-03-16 |
| 1255633582 | Together Lives Change | Community/Behavioral Health | 2115 Executive Dr, Building 10-d, Hampton, VA 23666-2499 | 2010-11-18 |
| 1326363417 | Peninsula Family Practice | Health Maintenance Organization | 2115 Executive Dr, 4-c, Hampton, VA 23666-2499 | 2010-03-31 |
| 1841523909 | Dr.paul W.seck,o.d.p.c. | Optometrist | 2115 Executive Dr, Hampton, VA 23666-2499 | 2009-09-08 |
| 1285889287 | Hampton Roads Arthritis Center | Internal Medicine | 2115 Executive Dr, Suite 6c, Hampton, VA 23666-2499 | 2008-11-18 |
| 1154578094 | Scott M Quinn | Dentist | 2115 Executive Dr, Suite 8-c, Hampton, VA 23666-2499 | 2008-08-21 |
| 1245486026 | Lois Hancock | Nurse Practitioner | 2115 Executive Dr, Suite 9a, Hampton, VA 23666-2499 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1598020935 | Stacy Tanner | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-07-11 |
| 1144365198 | Robert M Kowalewski | Internal Medicine | 4000 Coliseum Dr Ste 310, Hampton, VA 23666-5983 | 2007-02-20 |
| 1770961237 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr, Ste 310, Hampton, VA 23666-5906 | 2015-05-15 |
| 1063815116 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr Ste 310, Hampton, VA 23666-5983 | 2014-10-03 |
| 1053656967 | Riverside Physician Services Inc | Internal Medicine | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2012-12-04 |
| 1831446020 | Narayana Swamy | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-08-07 |
| 1285889287 | Hampton Roads Arthritis Center | Internal Medicine | 2115 Executive Dr, Suite 6c, Hampton, VA 23666-2499 | 2008-11-18 |
| 1245290907 | David B Maxwell | Internal Medicine | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417334640 | Rabia Gill | Internal Medicine | 5504 Riverside Heights Way, Richmond, VA 23225-2477 | 2015-04-27 |
| 1821495656 | Arthritis and Rheumatology Clinical Center of Northern Virginia, Pllc | Internal Medicine | 8130 Boone Blvd Ste 340, Vienna, VA 22182-2640 | 2014-11-21 |
| 1225441363 | Peter Ellis Lipsky | Internal Medicine | 1545 London Rd, Charlottesville, VA 22901-8881 | 2014-06-06 |
| 1457770216 | Nishant Desai | Internal Medicine | 9221 Stony Crest Cir Apt 325, Richmond, VA 23235-6894 | 2014-04-09 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1477804680 | Collaborative Arthritis Care, Inc | Internal Medicine | 300a Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2972 | 2012-09-27 |
| 1922366012 | Advanced Arthritis and Rheumatology Care, PC | Internal Medicine | 2324 Colony Crossing Pl, Midlothian, VA 23112-4280 | 2012-04-26 |
| 1669783221 | Timothy James Henshaw | Internal Medicine | 6335 Corntassel Ln, Roanoke, VA 24018-5625 | 2010-06-29 |
| 1396063319 | Yousef Zarbalian | Internal Medicine | 6800 Fleetwood Rd Ste 110, Mc Lean, VA 22101-3604 | 2010-05-14 |
| 1962657411 | Gineth Paola Pinto-patarroyo | Internal Medicine | 8100 Ashton Ave Ste 215, Manassas, VA 20109-5688 | 2008-11-25 |
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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.