DR. NEIL D WALLEN (NPI# 1326043373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326043373 |
| Entity Type | Individual |
| Full Name | DR. NEIL D WALLEN |
| Credential | M.D. |
| Practice Address |
933 Highway 126 Bristol TN 37620-3310 |
| Mailing Address |
Po Box 9 Kingsport TN 37662-0009 |
| Practice Telephone | 4238447000 |
| Practice Fax Number | 4238447007 |
| Mailing Telephone | 4238447000 |
| Mailing Fax Number | 4238447007 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2009-09-24 |
| NPI Deactivation Date | 03/18/2006 |
| NPI Reactivation Date | 2006-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
MD0000017754 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006002188 | 05 | |
| TN | 3032572 | 05 | |
| VA | 1326043373 | 05 | |
| TN | 1510634 | 05 |
| Street Address |
933 HIGHWAY 126 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275873820 | Melody Ann Hughes | Nurse Practitioner | 933 Highway 126, Bristol, TN 37620-3310 | 2013-02-19 |
| 1336162908 | Highlands Allergy & Asthma Center PC | Allergy & Immunology | 933 Highway 126, Bristol, TN 37620-3310 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871523936 | Bruce E Englander | Allergy & Immunology | 160 Farmington Ave, Bristol, CT 06010-4218 | 2006-07-04 |
| 1336162908 | Highlands Allergy & Asthma Center PC | Allergy & Immunology | 933 Highway 126, Bristol, TN 37620-3310 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114434750 | Allcare Services Inc | Allergy & Immunology | 19124 River Canyon Rd, Chattanooga, TN 37405-7406 | 2018-01-04 |
| 1225256613 | Chrishana L. Ogilvie Tymony | Allergy & Immunology | 2155 West St, Germantown, TN 38138-3856 | 2007-04-23 |
| 1871645432 | Susan M Higgins | Allergy & Immunology | Skin & Allergy Center 1970 Medical Center Parkway, Murfreesboro, TN 37132 | 2007-01-16 |
| 1184724312 | Richard G Wanderman | Allergy & Immunology | 6077 Apple Tree Dr, #5, Memphis, TN 38115-8622 | 2006-09-25 |
| 1952415424 | Steve Cole | Allergy & Immunology | 1750 Madison Ave Ste 210, Memphis, TN 38104-6428 | 2006-08-19 |
| 1205879400 | Allergic Diseases Asthma & Immunology Clinic PC | Allergy & Immunology | 7417 Kingston Pike Ste 101, Knoxville, TN 37919-5616 | 2006-06-14 |
| 1659340610 | Marek M Pienkowski | Allergy & Immunology | 7417 Kingston Pike, Suite 101, Knoxville, TN 37919-5606 | 2006-03-14 |
| 1013983709 | Michael M Dao | Allergy & Immunology | 1161 Murfreesboro Pike Ste 500, Nashville, TN 37217-2222 | 2006-02-23 |
| 1619958949 | Michael P Miller | Allergy & Immunology | 1915 Church Street, Suite One-half, Nashville, TN 37203-2203 | 2005-11-14 |
| 1336121649 | Robert Carroll Owen | Allergy & Immunology | 1600 Westgate Circle, Ste. 295, Brentwood, TN 37027-8069 | 2005-11-14 |
| 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.