RICHARD EDMUND WALLER (NPI# 1871541862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871541862 |
Entity Type | Individual |
Full Name | RICHARD EDMUND WALLER |
Credential | M.D. |
Practice Address |
14355 Sommerville Ct Midlothian VA 23113 |
Practice Telephone | 8043797721 |
Practice Fax Number | 8043797699 |
Mailing Telephone | 8043797721 |
Mailing Fax Number | 8043797699 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2011-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 0101040746 | VA | Other Service Providers |
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101040746 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010131855 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821001041 | Richard Edwin Waller | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-08-15 |
1417439233 | Richard Waller | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-08-29 |
1689661944 | Richard R. Waller Jr. | Chiropractor | 563 Main St, Bolton, MA 01740-1300 | 2005-10-03 |
Street Address |
14355 SOMMERVILLE CT |
City | MIDLOTHIAN |
State | VA |
Zip Code | 23113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649238387 | Edward M Leaton | Specialist | 14355 Sommerville Ct, Midlothian, VA 23113-6837 | 2006-05-03 |
1487731873 | Central Virginia Neurology, Plc | Specialist | 14355 Sommerville Ct, Midlothian, VA 23113-6837 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881211167 | River Run Dental Midlothian Pllc | Dentist | 14261 Winterview Parkway, Midlothian, VA 23113 | 2020-07-02 |
1447891981 | Dianne Carter Mays | Technician | 10901 Live Oak Court, Midlothian, VA 23113 | 2019-10-07 |
1023538444 | Kathryn Marie Logsdon | Physical Therapist | 2900 Calcutt Drive, Midlothian, VA 23113 | 2017-06-27 |
1801244694 | Anjali N Kalore | Internal Medicine | 10925 Live Oak Ct, Midlothian, VA 23113 | 2016-06-02 |
1124415971 | Cara E. Corbelli | Chiropractor | 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 | 2015-04-20 |
1922438639 | Orthovirginia, Inc | Orthopaedic Surgery | 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 | 2013-11-15 |
1811334832 | Kara Keuthan Beatty | Psychiatry & Neurology | 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 | 2013-05-31 |
1770854697 | R. Adrian Sorenson Dds and William R. Monacell Dds | Dentist | 14420 Sommerville Ct., Midlothian, VA 23113 | 2012-01-24 |
1336418995 | Hush Fine Lingerie LLC | Prosthetic/Orthotic Supplier | 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 | 2011-12-27 |
1205118163 | Rebecca Barton | Pharmacist | 10401 Midlothian Tnpk, Midlothian, VA 23113 | 2011-09-15 |
Find all providers in zip 23113 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083792386 | Neuroscience Centers Inc | Psychiatry & Neurology | 545 Burk Hawkins, Midlothian, TX 76065 | 2006-11-02 |
1063505865 | William Wesley Campbell Jr. | Psychiatry & Neurology | 13800 Winterberry Rdg, Midlothian, VA 23112-4952 | 2006-10-02 |
1457370231 | Miriam P. Garcia | Psychiatry & Neurology | 2436 Colony Crossing Pl, Midlothian, VA 23112-4281 | 2006-07-19 |
1942479803 | Eric Floranda | Psychiatry & Neurology | 601 Watkins Centre Pkwy, Suite 250, Midlothian, VA 23114-0002 | 2008-02-25 |
1124189881 | Neurodiagnostic Associates Inc | Psychiatry & Neurology | 545 Burk Hawkins, Midlothian, TX 76065-1770 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
1790342285 | Neural Network Pllc | Psychiatry & Neurology | 4660 Kenmore Ave Ste 408, Alexandria, VA 22304-1306 | 2019-05-21 |
1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
1750870556 | Evergreen Neurology and Sleep Center | Psychiatry & Neurology | 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 | 2018-05-07 |
1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
1023533718 | Riverside Physician Services Inc. | Psychiatry & Neurology | 659 Hospital Rd Ste 101, Tappahannock, VA 22560-7000 | 2017-08-03 |
1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
1144676701 | Andrew Keith Worthington | Psychiatry & Neurology | 4200 Sulgrave Rd, Richmond, VA 23221-3255 | 2016-05-12 |
Find all providers with the same taxonomy |
City | MIDLOTHIAN |
Zip Code | 23113 |
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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.