JEAN OLDHAM WALL (NPI# 1710982988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710982988 |
| Entity Type | Individual |
| Full Name | JEAN OLDHAM WALL |
| Credential | M.D. |
| Practice Address |
2222 Welborn St Dallas TX 75219-3924 |
| Practice Telephone | 2145595000 |
| Practice Fax Number | 2144437309 |
| Mailing Telephone | 2145595000 |
| Mailing Fax Number | 2144437309 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
G5445 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122889202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649359837 | Jean Westley Wall | Nurse Practitioner | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-06 |
| Street Address |
2222 WELBORN ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75219-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796137 | Carissa Stoddard | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-29 |
| 1831704949 | Ronni Lee Rowe | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-15 |
| 1952945263 | Katie Edwards | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-30 |
| 1033752555 | Kristiana Rhae Kiessling | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-28 |
| 1033767611 | Christine Grohs Agerlid | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-08-28 |
| 1669026050 | Kristen Anne Lord | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-24 |
| 1023660545 | Lindsay Chiu | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-15 |
| 1649832296 | Kayla Clem | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
| 1952963589 | Elissa Rae Curtis | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
| 1932761798 | Lucy Rose Ericson | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639696016 | Health and Pain Medicine Institute, P.a. | Anesthesiology | 1700 Pacific Ave Ste 260, Dallas, TX 75201-7478 | 2017-08-25 |
| 1205149796 | Rosemary Garza Christy, Mdpa | Anesthesiology | 5527 Wenonah Dr, Dallas, TX 75209-5521 | 2010-07-26 |
| 1285947903 | Christopher A. Clarke, M.d., P.a. | Anesthesiology | 5127 Bellerive Dr, Dallas, TX 75287-7551 | 2010-07-22 |
| 1588071773 | Mikel Gorbea | Anesthesiology | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2014-07-19 |
| 1932529104 | Aveline Jerome | Anesthesiology | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2014-04-25 |
| 1871915157 | Carol C Burns Md Pa | Anesthesiology | 10830 N Central Expy, 120, Dallas, TX 75231-1050 | 2014-01-06 |
| 1386917722 | Farzaneh Zahra Safavi | Anesthesiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2012-02-15 |
| 1659656692 | Gail Owen Hackney | Anesthesiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2011-10-20 |
| 1689959926 | Cynthia Ann Woerz | Anesthesiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2011-10-19 |
| 1154606515 | Cindy K Kelly | Anesthesiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2011-10-18 |
| Find all providers in DALLAS | ||||
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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.