DR. MICHAEL JASON WALLS


Address: 320 Thomas More Pkwy, Suite 202, Crestview Hills, KY 41017-3410
Phone: 8593310432

DR. MICHAEL JASON WALLS (NPI# 1083888325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083888325
Entity Type Individual
Full Name DR. MICHAEL JASON WALLS
Credential M.D.
Practice Address 320 Thomas More Pkwy
Suite 202
Crestview Hills
KY 41017-3410
Mailing Address 120 Executive Park
Louisville
KY 40207-4201
Practice Telephone 8593310432
Practice Fax Number 8593310956
Mailing Telephone 5024099925
Mailing Fax Number 5029199780
Enumeration Date 2008-04-17
Last Update Date 2019-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
42678 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM ID 000001148521 01
CARESOURCE ID CS1811400200 01
AETNA PIN 9318357 01
OH 0295938 05
IN 300012365 05
KY 7100086870 05

Other Providers MICHAEL WALLS

NPI Name Taxonomy Address Enumeration
1932383593 Michael A Walls Military Health Care Provider 3399 Strauss Ave, Suite 219, Indian Head, MD 20640-5164 2007-12-19
1124141411 Michael Robert Walls Occupational Therapist 435 Main St Ste A, Franklin, TN 37064-2757 2007-04-09
1679579791 Michael James Walls Specialist 4015 I 45 N Ste 310, Conroe, TX 77304-5077 2005-06-23
1497877526 Michael C Walls Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290-1028 2007-04-06
1841273992 Michael Edward Walls Physical Therapist 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 2005-11-22
1063415875 Michael W Walls Nurse Anesthetist, Certified Registered 1 E New York Ave, Somers Point, NJ 08244-2340 2005-05-24

Office Location

Street Address 320 THOMAS MORE PKWY
SUITE 202
City CRESTVIEW HILLS
State KY
Zip Code 41017-3410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679556765 Philip S. Becker Psychiatry & Neurology 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 2005-11-22
1982839940 Elizabeth M. R. Dragan Psychiatry & Neurology 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 2009-05-20
1215070057 David C Quast Dentist 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 2007-02-14
1760585954 John Todd Perkins Psychiatry & Neurology 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 2006-09-06
1932201845 Katherine Lee Bushong Nurse Practitioner 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 2006-09-01
1346359387 Maureen Li Psychiatry & Neurology 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 2006-08-30
1447367156 James Farrell Psychiatry & Neurology 320 Thomas More Pkwy, Crestview Hills, KY 41017-3410 2006-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578187209 St. Elizabeth Medical Center, Inc. Pharmacy 1 Medical Village Dr., Edgewood, KY 41017 2020-05-28
1366084337 St. Elizabeth Medical Center, Inc. Pharmacy 850 Thomas More Parkway, Edgewood, KY 41017 2019-10-11
1396396750 Family First Vision Care Kentucky Optometrist 614 Buttermilk Pike, Fort Mitchell, KY 41017 2019-09-26
1083184543 Katie Franconia Smith Nurse Practitioner 2865 Chancellor Dr., Crestview Hills, KY 41017 2018-11-27
1871077511 Janet Reeves Martin Nurse Practitioner Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 2018-09-19
1144713983 Kelly Wiechart Dentist 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 2018-06-06
1225535966 Proscan Radiology Northern Kentucky, LLC Radiology 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 2018-04-10
1396241626 Tressa S. Leahy Physical Therapist 200 Medical Village Drive, Edgewood, KY 41017 2018-04-04
1699294470 Raymond Gardinier Physical Therapist 3755 Old Ky 17, Fort Wright, KY 41017 2017-09-13
1992229785 Adrienne Bussard Physician Assistant 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 2017-08-02
Find all providers in zip 41017

Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346766441 Integrated Pain Management of Kentucky LLC Pain Medicine 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 2017-08-21
1588093694 Neuroscience Associates of Northern Kentucky,psc Pain Medicine 2845 Chancellor Dr, Crestview Hills, KY 41017-3418 2013-11-08
1801113071 Lester S Duplechan Md Pllc Pain Medicine 350 Thomas More Pkwy, Ste 190, Crestview Hills, KY 41017-5465 2010-04-28
1144293275 Philip L Zaacks Pain Medicine 350 Thomas More Pkwy, Suite 160, Crestview Hills, KY 41017-5465 2006-02-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528554474 Hillcrest Pain & Spine Pllc Pain Medicine 853 Lane Allen Rd Ste 217, Lexington, KY 40504 2018-07-03
1578981718 Restore Rehabilitation Pain Medicine 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 2014-04-04
1508201898 Center for Pain Management Pain Medicine 440 B High St, Bowling Green, KY 42101 2013-05-01
1689994154 Cumberland Brain and Spine, Pllc Pain Medicine 1641 Scottsville Rd, Bowling Green, KY 42104-3244 2010-06-08
1235358243 Gary L Reasor, Md P.s.c Pain Medicine 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 2007-04-25
1407995517 Cassari Pain Treatment Center Inc Pain Medicine 4010 Dupont Circle #430, Louisville, KY 40207 2007-02-05
1922186378 Tri-state Advanced Pain Management Pllc Pain Medicine 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 2006-11-02
1164518080 David P Bosomworth II Pain Medicine 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 2006-10-05
1639263338 Bluegrass Pain Management, Psc Pain Medicine 1760 Nicholasville Road, Suite 503, Lexington, KY 40503 2006-10-03
1265525653 Bill Walker Haney Pain Medicine 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 2006-09-30
Find all providers with the same taxonomy

Competitor

Search similar providers

City CRESTVIEW HILLS
Zip Code 41017

Improve Information

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Dataset Information

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.

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