ANTOINETTE W. WALL, M.D. PA (NPI# 1023283355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023283355 |
| Entity Type | Organization |
| Organization Name | ANTOINETTE W. WALL, M.D. PA |
| Practice Address |
7 Glenn Bridge Rd Ste D Arden NC 28704-3322 |
| Practice Telephone | 8286843949 |
| Practice Fax Number | 8286842330 |
| Mailing Telephone | 8286843949 |
| Mailing Fax Number | 8286842330 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | ANTOINETTE W. WALL (PRESIDENT) |
| Authorized Official Telephone | 8286843949 |
| Authorized Official Credential | M.D PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 20857 | NC | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8985383 | 05 | |
| NC | BLUE CROSS/BLUE SHIELD | 85383 | 01 |
| Street Address |
7 GLENN BRIDGE RD STE D |
| City | ARDEN |
| State | NC |
| Zip Code | 28704-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457312506 | Jerry A Kotulla | Anesthesiology | 7 Glenn Bridge Rd, Suite C, Arden, NC 28704-3322 | 2006-03-29 |
| 1023044534 | Total Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 7 Glenn Bridge Rd, Suite A, Arden, NC 28704-3322 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410949 | Lindsey Marie Gates | Dentist | 226 New Airport Rd Ste 30, Arden, NC 28704 | 2020-06-04 |
| 1669025565 | Casey Cho Dds Pllc | Dentist | 150 Airport Rd. Suite 30, Arden, NC 28704 | 2019-07-19 |
| 1700370913 | Eric Seth Shapiro | Chiropractor | 32 Southwicke Dr, Arden, NC 28704 | 2018-06-20 |
| 1285180406 | Adam Herbst | Physical Therapy Assistant | 101 Roberts Lake Circle Apt 105, Arden, NC 28704 | 2016-08-28 |
| 1760820013 | Dove Shoneman | Acupuncturist | 600 Julian Lane, Suite 660, Arden, NC 28704 | 2013-06-10 |
| 1710288378 | Higher Ground Pediatric Therapy, Pllc | Community/Behavioral Health | 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 | 2010-11-12 |
| 1962642868 | Pandora M Hodge | Physician Assistant | 436 Airport Road, Suite 20, Arden, NC 28704 | 2009-03-05 |
| 1710135009 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 60 Airport Rd., Asheville, NC 28704 | 2008-08-29 |
| 1679732598 | Patty Ann Dalton | Social Worker | 126 Locust Court, Arden, NC 28704 | 2008-06-05 |
| 1053501783 | Roger A Wallace | Psychologist | 410 Mills Gap Rd., Arden, NC 28704 | 2007-07-30 |
| Find all providers in zip 28704 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299663 | Family Focused Network | Preferred Provider Organization | 5320 Wisbech Ct, Charlotte, NC 28215-5057 | 2016-12-07 |
| 1407304710 | Erfan Imeni Kashani D.d.s. Pllc | Preferred Provider Organization | 2609 N Duke St Ste 501, Durham, NC 27704-3019 | 2016-09-15 |
| 1013362284 | Better Communities | Preferred Provider Organization | 2149 Valleygate Dr Ste 101, Fayetteville, NC 28304-3666 | 2016-04-25 |
| 1427411339 | Jordan C Poole | Preferred Provider Organization | 9 English Ivy Rd, Asheville, NC 28806-5514 | 2016-03-30 |
| 1528429479 | Elliott's Veteran Support Group | Preferred Provider Organization | 201 Strickland Dr, Princeville, NC 27886-9549 | 2016-03-18 |
| 1568857688 | Psychotherapeutic Community Services Assoc | Preferred Provider Organization | 400 W Main St Ste 501, Durham, NC 27701-3295 | 2015-04-06 |
| 1902236961 | Enhancement Health Care, Inc. | Preferred Provider Organization | 2801 Darrow Rd, Durham, NC 27704-2417 | 2013-11-12 |
| 1043646052 | Comfort Zone In-home Healthcare | Preferred Provider Organization | 2400 Wilkes St, High Point, NC 27260-8272 | 2013-09-23 |
| 1255779161 | Mitzi Elaine Phillips | Preferred Provider Organization | 6985 Nuggett Dr, Morganton, NC 28655-7994 | 2013-06-13 |
| 1669712063 | Neogenesis Foundation | Preferred Provider Organization | 3959 Sterling Pointe Dr, Winterville, NC 28590-5800 | 2013-02-21 |
| 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.