DAVID F WALLER (NPI# 1518966688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518966688 |
Entity Type | Individual |
Full Name | DAVID F WALLER |
Credential | MD |
Practice Address |
4868 Bridge Rd Suite 300 Suffolk VA 23435-2048 |
Practice Telephone | 7574837100 |
Practice Fax Number | 7574837150 |
Mailing Telephone | 7574837100 |
Mailing Fax Number | 7574837150 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2013-07-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 0101047125 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 005623260 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881716603 | David Waller | Psychologist | 105 M St Ne, Auburn, WA 98002-4430 | 2007-04-04 |
1023195781 | David M. Waller | Chiropractor | 2455 Ridge Rd, Ste. 147, Rockwall, TX 75087-5529 | 2006-11-01 |
1023242286 | David Louis Waller Jr. | Physician Assistant | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2009-05-03 |
1588728471 | David A Waller | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-12-22 |
Street Address |
4868 BRIDGE RD SUITE 300 |
City | SUFFOLK |
State | VA |
Zip Code | 23435-2048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205213279 | Benedict Ngwa | Nurse Practitioner | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2015-04-29 |
1417365438 | Abhishek Agarwal | Internal Medicine | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2014-07-23 |
1417267410 | Lakeview Medical Center, Inc | Clinic/Center | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2010-10-12 |
1720316185 | Diane E Sampson | Pediatrics | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2009-11-24 |
1598985459 | Joseph Peter Barreca Jr. | Surgery | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2007-04-25 |
1205899796 | Julie Anne Holz | Pediatrics | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2006-04-07 |
1174594352 | Laura Schuetz Wright | Pediatrics | 4868 Bridge Rd, Suffolk, VA 23435-2048 | 2006-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
Find all providers in zip 23435 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891287611 | Franklin Clinic Corp | Family Medicine | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 2018-06-06 |
1922418235 | Maryview Hospital | Family Medicine | 148 Burnetts Way, Ste 107, Suffolk, VA 23434-6149 | 2014-05-08 |
1164687190 | Margie Pantangco Pascual | Family Medicine | 5818-d Harbour View Blvd, Suite 250, Suffolk, VA 23435 | 2008-07-18 |
1083804728 | Franklin Clinic Corp | Family Medicine | 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 | 2007-07-30 |
1548463185 | Mckenney Medical Group, Pllc | Family Medicine | 6712a S Quay Rd, Suffolk, VA 23437-8697 | 2007-06-11 |
1144437039 | Center for Health and Diabetes, Pllc | Family Medicine | 131 N Saratoga St, Suffolk, VA 23434-5258 | 2007-05-17 |
1730263435 | Monique Mccarter Lee | Family Medicine | 157 N Main St, Suite A, Suffolk, VA 23434-4565 | 2006-10-25 |
1104849132 | Roger Guy Lever | Family Medicine | 2800 Godwin Blvd Fl 1, Suffolk, VA 23434-8038 | 2006-07-25 |
1962429498 | Obici Medical Management Services, Inc | Family Medicine | 1548 Holland Rd # B, Suffolk, VA 23434-6528 | 2006-07-17 |
1144251687 | Linda Kay Frey | Family Medicine | 2019 Meade Pkwy, Suffolk, VA 23434-4259 | 2006-07-05 |
Find all providers in SUFFOLK |
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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.