DR. WILLIAM WALTER WALL (NPI# 1669407342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669407342 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM WALTER WALL |
| Credential | M.D. |
| Practice Address |
2120 Forest Ave San Jose CA 95128-1478 |
| Practice Telephone | 4082972012 |
| Practice Fax Number | 4082972129 |
| Mailing Telephone | 4082972012 |
| Mailing Fax Number | 4082972129 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G80961 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG ENFORCEMENT ADMIN | DEA BW461 2986 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659422038 | William Jeffrey Wall | Dentist | 303 1st Ave Nw, Winchester, TN 37398-1647 | 2007-01-14 |
| 1154480309 | William H. Wall | Dentist | 2289 Rudolphtown Rd., Suite 102, Clarksville, TN 37043-6326 | 2006-12-06 |
| 1891880720 | William H. Wall | Dentist | 5139 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-1638 | 2006-10-04 |
| 1972573939 | William George Wall II | Nurse Anesthetist, Certified Registered | 2103 Silva Lane, Moberly, MO 65270 | 2006-01-24 |
| 1780663732 | William M Wall | Internal Medicine | 927 Medical Center Dr, Bessemer, AL 35022-6081 | 2006-01-10 |
| 1346234218 | William Scott Wall | Physical Therapist | 1625 West Hwy 88, Suite 302, Minden, NV 89423 | 2005-09-07 |
| 1083906036 | William Allan Wall | Chiropractor | 400 Bypass Ln, Suite 103, Livingston, TX 77351-6351 | 2011-05-10 |
| 1902138894 | William Corey Wall | Nurse Anesthetist, Certified Registered | 3100 Spring Forest Rd, Raleigh, NC 27616-2880 | 2010-02-03 |
| 1851621015 | William Garfield Wall | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2010-01-11 |
| 1063645422 | William Regis Wall Jr. | Psychologist | 6218 S 7th St, Phoenix, AZ 85042-4211 | 2009-09-01 |
| Street Address |
2120 FOREST AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137701 | Acumoxie Acupuncture, Inc. | Acupuncturist | 2120 Forest Ave, Ste 3, San Jose, CA 95128-1478 | 2016-07-01 |
| 1134522139 | Cary Lin | Acupuncturist | 2120 Forest Ave, Ste 3, San Jose, CA 95128-1478 | 2014-10-03 |
| 1386986966 | Albert Becker | Orthotist | 2120 Forest Ave, Suite 3, San Jose, CA 95128-1478 | 2013-03-21 |
| 1710283858 | Robert Patterson | Orthotist | 2120 Forest Ave, Suite 3, San Jose, CA 95128-1478 | 2011-02-08 |
| 1952607426 | Thomas K Elias | Orthotist | 2120 Forest Ave, Suite 3, San Jose, CA 95128-1478 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467746024 | Stephanie Marie Gancarczyk | Orthopaedic Surgery | 260 International Cir Bldg 4, San Jose, CA 95119-1130 | 2011-06-01 |
| 1033425350 | Dr Morteza Farr Do Inc | Orthopaedic Surgery | 125 N Jackson Ave Ste 101, San Jose, CA 95116-1914 | 2010-08-24 |
| 1104131739 | Barry Jay Miller | Orthopaedic Surgery | 1284 Montmorency Dr, San Jose, CA 95118-2037 | 2010-08-06 |
| 1144431941 | Mark Sajjadi | Orthopaedic Surgery | 93 N 14th St, Suite 3, San Jose, CA 95112 | 2007-05-24 |
| 1023227733 | Charissa Farris | Orthopaedic Surgery | 2516 Samaritan Dr Ste B, San Jose, CA 95124-4108 | 2007-05-21 |
| 1144244682 | Edward Damore | Orthopaedic Surgery | 2430 Samaritan Drive, San Jose, CA 95124 | 2006-07-27 |
| 1063478105 | William Robert Stearns | Orthopaedic Surgery | 123 Di Salvo Ave, Suite E, San Jose, CA 95128-1717 | 2006-04-26 |
| 1295187060 | Pamela Mehta Md Inc | Orthopaedic Surgery | 2242 Camden Ave, Suite 104, San Jose, CA 95124-2029 | 2016-07-06 |
| 1225465388 | Orthokristy Bone and Jointcenter Inc | Orthopaedic Surgery | 2516 Samaritan Dr, Suite B, San Jose, CA 95124-4108 | 2013-10-03 |
| 1184990665 | Varqa Rouhipour, M.d., A Professional Corporation | Orthopaedic Surgery | 200 Jose Figueres Ave, Suite 260, San Jose, CA 95116-1500 | 2012-03-28 |
| Find all providers in SAN JOSE | ||||
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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.