DR. JOHN JOSEPH WALD


Address: 1201 E Michigan Ave, Ste 230, Jackson, MI 49201-1852
Phone: 5178177620

DR. JOHN JOSEPH WALD (NPI# 1275627366) 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) 1275627366
Entity Type Individual
Full Name DR. JOHN JOSEPH WALD
Credential M.D.
Practice Address 1201 E Michigan Ave
Ste 230
Jackson
MI 49201-1852
Mailing Address Po Box 67000
Department 272801
Detroit
MI 48267-2728
Practice Telephone 5178177620
Practice Fax Number 5178177619
Mailing Telephone 5178177620
Mailing Fax Number 5178177619
Enumeration Date 2006-10-03
Last Update Date 2011-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
4301052794 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4256604 05

Other Providers JOHN WALD

NPI Name Taxonomy Address Enumeration
1134644453 John Oliver Wald Speech-Language Pathologist 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 2017-08-08
1194033225 John A. Wald Counselor 137 Howard St, Eagle, CO 81631 2010-09-23
1346210218 John T Wald Radiology 200 1st St Sw, Rochester, MN 55905-0001 2006-01-24

Office Location

Street Address 1201 E MICHIGAN AVE
STE 230
City JACKSON
State MI
Zip Code 49201-1852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033101225 Tudor R Tien Specialist 1201 E Michigan Ave, Suite 300, Jackson, MI 49201-1852 2005-08-16
1205325180 Amy M Miskowski Physical Therapist 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-05-06
1073002366 Brett Walter Nowery Occupational Therapist 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-05-02
1437651478 Samantha Sherwood Nurse Practitioner 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-03-06
1003314519 Suzanne Kathleen Harmon Specialist/Technologist 1201 E Michigan Ave, Jackson, MI 49201-1852 2018-01-30
1598117319 Lindsay Michelle Fausett Specialist/Technologist 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 2016-07-05
1780051839 Staci Sue Cattaneo Nurse Practitioner 1201 E Michigan Ave, Ste 100, Jackson, MI 49201-1852 2015-08-25
1811254956 Nanette Embury Nurse Practitioner 1201 E Michigan Ave, Ste 120, Jackson, MI 49201-1852 2012-04-13
1306174982 Wa Foote Memorial Hospital, Inc. Durable Medical Equipment & Medical Supplies 1201 E Michigan Ave, Suite 110, Jackson, MI 49201-1852 2009-11-19
1043543747 Amy Lynne Herrick Nurse Practitioner 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 2009-09-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
Find all providers in zip 49201

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235454059 Mitchell Myers, M.d. Psychiatry & Neurology 2906 North State Street, Suite 301, Jackson, MS 39216 2010-04-05
1477745842 Catherine Haynes Wuthrich Psychiatry & Neurology 2092 Lilac Lane, Jackson, WY 83002 2007-08-09
1003907460 Patrick E Weldon Psychiatry & Neurology 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 2006-09-28
1801991401 James H Spruill Jr. Psychiatry & Neurology 614 Skyline Dr, Jackson, TN 38301-3923 2006-09-14
1174628903 Michael W Brueggeman Psychiatry & Neurology 700 West Forest, Ste 200, Jackson, TN 38301 2006-09-14
1417962952 Mohamad R Karami-sichani Psychiatry & Neurology 50 Bent Creek Ln, Jackson, TN 38305-2170 2006-07-31
1760427496 Sumathira T Sathanandan Psychiatry & Neurology 700 West Forest, Ste. 200, Jackson, TN 38301 2006-06-17
1174574701 Kathleen A. Messenger Psychiatry & Neurology 971 Lakeland Dr Ste 557, Jackson, MS 39216-4661 2006-05-16
1669430708 Aida Bodour Psychiatry & Neurology 1400 E Michigan Ave, Jackson, MI 49202-3518 2006-05-01
1891751806 Umesh Verma Psychiatry & Neurology 1418 E Michigan Ave, Jackson, MI 49202-3518 2006-04-26
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49201

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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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