DR. DAVID A WAHL (NPI# 1952303182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952303182 |
Entity Type | Individual |
Full Name | DR. DAVID A WAHL |
Credential | MD |
Practice Address |
2368 Grove St Vicksburg MS 39183-2857 |
Practice Telephone | 6016383005 |
Practice Fax Number | 6016382227 |
Mailing Telephone | 6016383005 |
Mailing Fax Number | 6016382227 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2017-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
12278 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00012726 | 05 | |
MS | NPI | 1952303182 | 01 |
LA | 1961817 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770614216 | David S. Wahl | Psychiatry & Neurology | 12600 W. Colfax Ave, Suite #c430, Lakewood, CO 80215-3760 | 2007-03-08 |
1801836796 | David R Wahl | Chiropractor | 8999 W Central Ave, Suite 101, Wichita, KS 67212 | 2006-06-07 |
1396723110 | David Wahl | Family Medicine | 62 Market St, Lynn, MA 01902 | 2006-01-03 |
1720013022 | David V Wahl | Urology | 11911 Ne 132nd St., Suite 200, Kirkland, WA 98034 | 2006-07-12 |
Street Address |
2368 GROVE ST |
City | VICKSBURG |
State | MS |
Zip Code | 39183-2857 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104821123 | Martin M Newcomb | Internal Medicine | 2368 Grove St, Vicksburg, MS 39183-2857 | 2005-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
Find all providers in zip 39183 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790711158 | Vicksburg Clinic LLC | Radiology | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700152212 | Eplus Oncologics Mississippi, LLC | Radiology | 127 South 13th Street, Laurel, MS 39440-4111 | 2012-03-29 |
1528330214 | Robert H Jones Md PC | Radiology | 65 Hickory Dr, West Point, MS 39773-3948 | 2012-01-27 |
1215269881 | John Wycoff Godsey | Radiology | 502 Martin Ave., Ocean Springs, MS 39564 | 2010-02-08 |
1174613830 | Vicksburg Oncology Associates LLC | Radiology | 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 | 2006-10-13 |
1881791812 | Russell Scott Anderson Md Pa | Radiology | 1704 23rd Avenue, Meridian, MS 39301 | 2006-09-20 |
1730292798 | Burnett Hanson | Radiology | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2006-08-16 |
1457364556 | L. Cameron Pimperl | Radiology | 127 S 13th Ave, Laurel, MS 39440-4111 | 2006-08-13 |
1720020795 | Elbert Alan Duncan | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-12 |
1922060722 | William D. Burleson | Radiology | 1732 Medical Park Dr, Biloxi, MS 39532-2131 | 2006-04-05 |
1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
Find all providers with the same taxonomy |
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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.