RICHARD WALL


Address: 1900 116th Ave Ne, Suite 210, Bellevue, WA 98004-3052
Phone: 4254518831

RICHARD WALL (NPI# 1508058991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508058991
Entity Type Individual
Full Name RICHARD WALL
Credential CPO
Practice Address 1900 116th Ave Ne
Suite 210
Bellevue
WA 98004-3052
Practice Telephone 4254518831
Practice Fax Number 4254518831
Mailing Telephone 4254518831
Mailing Fax Number 4254518831
Enumeration Date 2007-08-09
Last Update Date 2009-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist OI00000394 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist PS00000395 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 9036963 05

Other Providers RICHARD WALL

NPI Name Taxonomy Address Enumeration
1174159826 Richard Emerson Wall Psychologist 124 Merrick Ave Ste 1, Merrick, NY 11566-3434 2020-03-13
1023266327 Richard Wayne Wall Obstetrics & Gynecology 2690 State Road 13, Switzerland, FL 32259-9262 2008-08-29
1548300106 Richard Allen Wall Emergency Medicine 1042 Hill Cir, Colorado Springs, CO 80904-1034 2007-02-06
1275525388 Richard A Wall Jr. Family Medicine 1278 N Lafayette Dr, Sumter, SC 29150-2964 2005-08-16
1053600361 Richard Wall Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2011-04-07
1184780728 Richard J Wall Internal Medicine 4011 Talbot Rd S, Ste 460, Renton, WA 98055-5773 2006-12-28
1295802213 Richard Lee Wall Psychologist 4920 S Loop 289, Suite 102c, Lubbock, TX 79414 2006-11-29
1811971393 Richard A Wall Family Medicine 19841 N 27th Ave, Ste. 101, Phoenix, AZ 85027-4003 2005-11-30

Office Location

Street Address 1900 116TH AVE NE
SUITE 210
City BELLEVUE
State WA
Zip Code 98004-3052

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134241888 Arifulla - Khan Psychiatry & Neurology 1900 116th Ave Ne, Bellevue, WA 98004-3052 2007-04-04
1730622408 Kristen King Skinner Registered Nurse 1900 116th Ave Ne, Ste 201, Bellevue, WA 98004-3013 2016-11-29
1689065476 Optimo Anesthesia Pllc Anesthesiology 1900 116th Ave Ne, Bellevue, WA 98004-3052 2015-02-15
1508204736 Washington Center for Pain Management, Pllc Non-Pharmacy Dispensing Site 1900 116th Ave Ne, Suite 201, Bellevue, WA 98004-3052 2013-06-10
1801135884 Femme Clinique Health Maintenance Organization 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 2013-02-11
1386918837 Stephanie D. Woo Chiropractor 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 2012-03-01
1578833489 Washington Center for Pain Management LLC Clinic/Center 1900 116th Ave Ne, Suite 100, Bellevue, WA 98004-3052 2012-01-09
1437437258 Washington Center for Pain Management LLC Anesthesiology 1900 116th Ave Ne, Suite 201, Bellevue, WA 98004-3052 2011-07-27
1255639878 Washington Therapy Group, Inc. Occupational Therapist 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 2011-03-07
1992997019 Hilary Engelhardt Orthotist 1900 116th Ave Ne, Suite 210, Bellevue, WA 98004-3052 2007-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508057845 David M Kelly Prosthetist 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 2007-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043785777 Natalie Kirsten Harold Prosthetist 123 2nd Ave S Ste 200, Edmonds, WA 98020-8449 2018-10-09
1497129092 Stevie Stephens Prosthetist 723 Mlk Jr Way, Tacoma, WA 98405 2015-11-19
1427243468 Andrew J Lind Prosthetist 401 S Sherman St, Spokane, WA 99202-6001 2007-09-12
1093891616 Virginias Feminine Boutique, LLC Prosthetist 3627 152nd St Ne, Marysville, WA 98271-8944 2006-10-27
1912081860 American Artificial Limb Co Prosthetist 650 S Orcas St, Suite 100, Seattle, WA 98108-2654 2006-10-25
1487631586 Michael Philip Podrasky Prosthetist 1420 4th St Se, Ste D, Puyallup, WA 98372 2005-12-29
1891394086 Janae Christine Buchan Prosthetist 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 2020-10-20
1164020426 Sarah Mccarthy Cheever Prosthetist 4575 Sand Point Way Ne, Seattle, WA 98105-3950 2020-10-09
1720612450 Sean C Hails Prosthetist 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 2020-03-03
1205469889 Shannon J Kim Prosthetist 10740 Meridian Ave N Ste G2, Seattle, WA 98133-9010 2020-02-21
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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