BRUCE WALL (NPI# 1790020501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790020501 |
| Entity Type | Individual |
| Full Name | BRUCE WALL |
| Practice Address |
700 Ackerman Rd Ste 580 Columbus OH 43202-1589 |
| Practice Telephone | 6147427476 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
35.041286 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932477320 | Bruce Allen Wall Jr. | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2011-12-13 |
| 1861446130 | Bruce Wall | Internal Medicine | 13154 Coit Rd, Ste 100, Dallas, TX 75240-5773 | 2006-05-20 |
| Street Address |
700 ACKERMAN RD STE 580 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43202-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1609353218 | Attache Home Care, LLC | Home Health | 10 E. Weber Rd., Suite 202, Columbus, OH 43202 | 2018-07-26 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1578954764 | Andrew Burrows | Home Health Aide | 2564 Deming Ave, Columbus, OH 43202 | 2015-02-10 |
| 1245525559 | Kathryn Anne Richardson | Specialist/Technologist | 3430 Ohiohealth Parkway, Columbus, OH 43202 | 2011-06-15 |
| 1760777395 | Erin Vance | Pharmacist | 3430 Ohiohealth Pkwy, Columbus, OH 43202 | 2011-06-11 |
| 1588974083 | Cdi Long Term Care LLC | Pharmacy | 11 W Duncan St., Columbus, OH 43202 | 2010-10-18 |
| 1679880082 | Betty Jean Howard | Counselor | 42 Tompkins Avenue, Columbus, OH 43202 | 2010-09-07 |
| 1265657134 | Christina T. Liscynesky | Internal Medicine | 700 Ackerman Road, Suite 385, Columbus, OH 43202 | 2007-04-16 |
| 1275647364 | Lynne V. Abruzzo | Pathology | 680 Ackerman Rd, Room D423, Columbus, OH 43202 | 2006-08-18 |
| Find all providers in zip 43202 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952444994 | Wael N. Jarjour | Internal Medicine | 480 Medical Drive, Columbus, OH 43210-1240 | 2007-02-15 |
| 1972616241 | Huma P Ahmed | Internal Medicine | 2443 Brookstone Centre Pkwy Ste A, Columbus, GA 31904-4664 | 2006-08-17 |
| 1841223922 | Peter J Embi | Internal Medicine | 480 Medical Center Drive, Columbus, OH 43210 | 2006-07-09 |
| 1790781730 | Apostolos Emil Kalovidouris | Internal Medicine | 2109 Doctors Park Dr, Columbus, IN 47203-2224 | 2005-06-23 |
| 1457709131 | Roshan Patel | Internal Medicine | 543 Taylor Ave, Columbus, OH 43203-1278 | 2016-06-02 |
| 1396139283 | Jacob Wooden Seymour | Internal Medicine | 1211 Dublin Rd, Columbus, OH 43215-1077 | 2015-03-27 |
| 1356769723 | Judith Lin | Internal Medicine | 1800 Zollinger Rd, Columbus, OH 43221 | 2014-04-02 |
| 1467884569 | Arthritis Solutions of Central Ohio, LLC | Internal Medicine | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2013-07-31 |
| 1104183011 | Navya Parsa | Internal Medicine | 1211 Dublin Rd, Columbus, OH 43215 | 2012-04-16 |
| 1962778886 | Reshmi Preethi Raveendran | Internal Medicine | 420 N James Rd, Columbus, OH 43219-1834 | 2012-03-25 |
| Find all providers in COLUMBUS | ||||
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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.