MICHAEL WAYNE WALL (NPI# 1669799805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669799805 |
| Entity Type | Individual |
| Full Name | MICHAEL WAYNE WALL |
| Credential | LPC |
| Practice Address |
784 W Lebanon St Mount Airy NC 27030-2218 |
| Mailing Address |
Po Box 607 Toast NC 27049-0607 |
| Practice Telephone | 3362933603 |
| Mailing Telephone | 3362933603 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3233 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
| 1932346897 | Michael Vincent Wall | Dentist | 3552 W Glendale Ave, Ste. B, Phoenix, AZ 85051-8358 | 2009-01-14 |
| 1053520593 | Michael Lee Wall II | Chiropractor | 13412 Pacific Ave S, Tacoma, WA 98444-4866 | 2007-05-22 |
| 1194940924 | Michael James Wall | Dentist | 45 1048 Kam Hwy, Suite B, Kaneohe, HI 96744 | 2007-04-16 |
| 1063552586 | Michael Patrick Wall | Social Worker | 692 Ritchie Hwy, Suite 203, Severna Park, MD 21146-3919 | 2007-02-07 |
| 1396842589 | Michael Shane Wall | Dentist | 506 Gentilly Road, Statesboro, GA 30458 | 2006-09-20 |
| 1780616847 | Michael S Wall | Orthopaedic Surgery | 500 Arguello St, Ste 100, Redwood City, CA 94063 | 2006-07-07 |
| 1235600529 | Michael Wall | Community Health Worker | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2018-12-11 |
| 1407244007 | Michael Andrew Wall | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2015-01-05 |
| 1356657472 | Michael Wall | Massage Therapist | 18920 Bothell Way Ne, #204, Bothell, WA 98011-1981 | 2010-08-26 |
| Street Address |
784 W LEBANON ST |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1023658028 | Lauren Robbins | Counselor | 18 Park Ave, Mount Airy, MD 21771-5438 | 2020-01-08 |
| 1033635305 | Diane Harper | Counselor | 154 N Renfro St Ste 100, Mount Airy, NC 27030-3879 | 2017-08-18 |
| 1295172831 | Whitney Blackwell Smith | Counselor | 3615 Rockford St, Mount Airy, NC 27030-7847 | 2013-05-22 |
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1679889083 | Amanda Draughn | Counselor | 319 S Main St Ste 304, Mount Airy, NC 27030-4715 | 2010-08-23 |
| 1760533582 | Mary Ann Russo | Counselor | 5303 Concord Ct, Mount Airy, MD 21771-5814 | 2007-01-16 |
| 1619988235 | Graciela Liliana Bilis | Counselor | 3661 Camelback Dr, Mount Airy, MD 21771-8074 | 2006-08-10 |
| 1992733067 | Joanna Refvem | Counselor | 201 Main Street, 3rd Floor, Mount Airy, NC 27030 | 2006-06-29 |
| 1265468771 | Ronald Baczurik | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2006-06-25 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on MICHAEL WAYNE WALL.
| 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.