PAUL WALLER (NPI# 1700238771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700238771 |
| Entity Type | Individual |
| Full Name | PAUL WALLER |
| Practice Address |
13254 Mondovi Dr Frisco TX 75033-0944 |
| Practice Telephone | 8173605181 |
| Mailing Telephone | 8173605181 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154472462 | Paul Alberto Waller | Family Medicine | 8350 Arbor Square Dr, Mason, OH 45040-5000 | 2007-01-15 |
| Street Address |
13254 MONDOVI DR |
| City | FRISCO |
| State | TX |
| Zip Code | 75033-0944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1174008163 | Bobby Cineus Renaud | Registered Nurse | 1801 Mccord Way Apt 813, Frisco, TX 75033 | 2018-09-26 |
| 1740762186 | Lisa Powell | Physical Therapist | 3280 Appleblossom Dr, Frisco, TX 75033 | 2018-09-01 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1780175497 | Kendall Marie Schatzle | Occupational Therapist | 10050 Legacy Dr Ste 200, Frisco, TX 75033 | 2018-05-29 |
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in zip 75033 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728815 | Jena Leslie | Specialist/Technologist | 6401 Parkwood Dr, Frisco, TX 75034-7239 | 2020-04-02 |
| 1568095032 | Ariana Rodriguez | Specialist/Technologist | 12047 Mordor Ln, Frisco, TX 75035-6930 | 2020-02-12 |
| 1699232124 | Tiffany Whiteaker | Specialist/Technologist | 12300 Frisco St, Frisco, TX 75033-3288 | 2019-02-20 |
| 1134603301 | Taylor Wooten | Specialist/Technologist | 11200 Sunrise Ln, Frisco, TX 75035-5145 | 2018-09-24 |
| 1356852263 | Anthony Dominic Citriniti | Specialist/Technologist | 2601 Avenue of The Stars Ste 300, Frisco, TX 75034-9069 | 2017-10-18 |
| 1700336534 | Anne Morton | Specialist/Technologist | 7549 Stonebrook Pkwy Apt 2305, Frisco, TX 75034-5497 | 2016-10-05 |
| 1275986556 | Jeffrey Baggett | Specialist/Technologist | 6136 Frisco Square Blvd Ste 300, Frisco, TX 75034-3477 | 2016-07-21 |
| 1083003305 | Jason Andrew Barnes | Specialist/Technologist | 6401 Parkwood Blvd, Frisco, TX 75034-7239 | 2015-01-12 |
| 1720476385 | Nichola Vogt Stjames | Specialist/Technologist | 3800 Gaylord Pkwy, Frisco, TX 75034-9416 | 2015-01-06 |
| 1629473517 | Tysha Beaty | Specialist/Technologist | 8313 Tanglerose Dr, Frisco, TX 75033-6223 | 2014-11-04 |
| Find all providers in FRISCO | ||||
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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.