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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301052794 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4256604 | 05 |
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 |
Street Address |
1201 E MICHIGAN AVE STE 230 |
City | JACKSON |
State | MI |
Zip Code | 49201-1852 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.