GARY WALL (NPI# 1427610435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427610435 |
| Entity Type | Individual |
| Full Name | GARY WALL |
| Credential | CPO |
| Practice Address |
1031 W Williams St Ste 104 Apex NC 27502-3955 |
| Mailing Address |
3708 Forestview Rd Ste 105 Raleigh NC 27612-2391 |
| Practice Telephone | 9192675284 |
| Practice Fax Number | 8886356138 |
| Mailing Telephone | 9199779727 |
| Mailing Fax Number | 8886356138 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | CPO04318 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 224P00000X | Prosthetist | CPO04318 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3708 Forestview Rd Ste 105, Raleigh, NC 276122391 | 9199779727 | 8886356138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760850523 | Gary Wall | Dentist | 780 S 2000 W Ste F2, Syracuse, UT 84075-9609 | 2015-09-10 |
| 1205868569 | Gary Vincent Wall | Chiropractor | 535 W 9th St, Corona, CA 92882-3218 | 2006-07-07 |
| 1821074527 | Gary A Wall Jr. | Dentist | 10627 19th Ave Se, Everett, WA 98208-5147 | 2005-12-15 |
| Street Address |
1031 W WILLIAMS ST STE 104 |
| City | APEX |
| State | NC |
| Zip Code | 27502-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366596546 | Monica Mcadoo Perry | Physical Therapist | 1031 W Williams St Ste 104, Apex, NC 27502-3955 | 2007-01-23 |
| 1285296293 | Chandler James Balkman | Orthotist | 1031 W Williams St Ste 104, Apex, NC 27502-3955 | 2019-07-01 |
| 1053973057 | James Fitzgerald Schweitzer | Orthotist | 1031 W Williams St Ste 104, Apex, NC 27502-3955 | 2019-07-01 |
| 1003355603 | Kari Pichora | Orthotist | 1031 W Williams St Ste 104, Apex, NC 27502-3955 | 2017-02-15 |
| 1891013181 | Del Bianco Enterprises | Prosthetic/Orthotic Supplier | 1031 W Williams St Ste 104, Apex, NC 27502-3955 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283507 | Reframe Counseling Services, Pllc | Psychologist | 1140 Savannah Ridge Road, Suites 204-206, Holly Springs, NC 27502 | 2019-03-05 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1437622792 | Abdelbaky, Arbon, & Boes, Pllc | Dentist | 1460 Kelly Rd, Apex, NC 27502 | 2019-01-09 |
| 1245733815 | Sarah S. Barker, Dds, Pllc | Clinic/Center | 1481 Chapel Ridge Road, Suite 250, Apex, NC 27502 | 2018-03-09 |
| 1497257646 | Sogoal Feizi | Chiropractor | 320 N Salem St Ste 102, Apex, NC 27502 | 2018-03-04 |
| 1417492554 | Nc Eye Associates Od Pllc | Optometrist | 1429 Kelly Road, Apex, NC 27502 | 2016-12-28 |
| 1154872646 | Renaissance Dentistry | Dentist | 800 W Williams Street, Suite 240, Apex, NC 27502 | 2016-10-19 |
| 1871049130 | Kathryn Siddle | Pharmacist | Route 940 Us 64, Apex, NC 27502 | 2016-08-28 |
| 1538526744 | Zhen Li | Acupuncturist | 1011 W. Williams St., Suite 104, Apex, NC 27502 | 2016-01-19 |
| 1174909980 | Karen Kleber Williams | Speech-Language Pathologist | 5448 Apex Peakway # 261, Apex, NC 27502 | 2015-08-04 |
| Find all providers in zip 27502 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
| 1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
| 1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
| 1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
| 1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
| 1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
| 1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
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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.