DR. MARTIN J WALL (NPI# 1356391254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356391254 |
| Entity Type | Individual |
| Full Name | DR. MARTIN J WALL |
| Credential | D.O. |
| Practice Address |
211 Broad St Marysville PA 17053-1302 |
| Mailing Address |
205 Grandview Ave Suite 210 Camp Hill PA 17011-1708 |
| Practice Telephone | 7179573500 |
| Practice Fax Number | 7179574069 |
| Mailing Telephone | 7179573500 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS-007216-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014086400001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447338579 | Martin J Wall | Urology | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004 | 2006-11-02 |
| Street Address |
211 BROAD ST |
| City | MARYSVILLE |
| State | PA |
| Zip Code | 17053-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819283 | Robert Paul Matsko Jr. | Family Medicine | 211 Broad St, Marysville, PA 17053-1302 | 2005-08-24 |
| 1770133472 | Amber Elizabeth Thomas | Nurse Practitioner | 211 Broad St, Marysville, PA 17053-1302 | 2019-09-14 |
| 1740732452 | Kaitlyn Herr | Nurse Practitioner | 211 Broad St, Marysville, PA 17053-1302 | 2016-10-28 |
| 1558506261 | Spirit Physician Services, Inc. | Nurse Practitioner | 211 Broad St, Marysville, PA 17053-1302 | 2008-12-09 |
| 1417105347 | Broad Street Family Health Center | Non-Pharmacy Dispensing Site | 211 Broad St, Marysville, PA 17053-1302 | 2008-09-04 |
| 1437115219 | Spirit Physician Services, Inc | Family Medicine | 211 Broad St, Marysville, PA 17053-1302 | 2006-04-21 |
| 1073506853 | Robert Paul Matsko Sr. | Family Medicine | 211 Broad St, Marysville, PA 17053-1302 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558426445 | Palukuri Bharath Kumar Reddy | Psychiatry & Neurology | 645 N 12th Street, Mhm Correctional Services, Inc, Lemoyne, PA 17053 | 2006-12-22 |
| 1023052362 | Pinnacle Health Medical Services | General Practice | 506 S State Rd, Marysville, PA 17053-1001 | 2006-06-16 |
| 1609268671 | Joanne Dawn Ruchinski | Specialist/Technologist | 506 S State Rd, Apt 1, Marysville, PA 17053-1001 | 2015-02-26 |
| 1821336538 | Cathy Jones | Physical Therapy Assistant | 456 Valley St, Marysville, PA 17053-1164 | 2013-01-30 |
| 1154475499 | Ishwaranand G Bhat | Dentist | 300 S State Rd, Marysville, PA 17053-1221 | 2007-01-23 |
| 1619500147 | Progressive Dental Concepts LLC | Dentist | 300 S State Rd, Marysville, PA 17053-1221 | 2020-02-12 |
| 1902805344 | Marysville Fire Co | Ambulance | 326 Cameron St, Marysville, PA 17053-1309 | 2005-07-19 |
| 1144509787 | Alexis Nicole Weidow | Physical Therapist | 310 Maple Ave, Marysville, PA 17053-1510 | 2011-08-14 |
| 1871592758 | Kevin William Hughes | Pharmacist | 1565 New Valley Rd, Marysville, PA 17053-9417 | 2005-07-21 |
| 1265651962 | Marci Jean Walborn | Occupational Therapist | 20 Cold Springs Rd, Marysville, PA 17053-9424 | 2007-04-24 |
| Find all providers in zip 17053 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508270067 | Nathan E Billington | Family Medicine | 140 Colemans Xing Ste 210, Marysville, OH 43040-7080 | 2014-06-12 |
| 1265684047 | Leticia Dantes | Family Medicine | 845 Michigan Ave, Marysville, MI 48040-1404 | 2008-10-13 |
| 1811154909 | Michael Shaffer | Family Medicine | 17853 State Route 31 Ste B, Marysville, OH 43040-8835 | 2008-05-17 |
| 1134201122 | Whole Family Care Clinic | Family Medicine | 330 H St # A, Marysville, CA 95901-5815 | 2006-10-19 |
| 1679653976 | Joseph Wayne Cassady | Family Medicine | 5730 Packard Avenue, Suite 500, Marysville, CA 95901 | 2006-10-17 |
| 1720199292 | Ann Carol Kammeyer | Family Medicine | 1416 8th Street, Ste #1, Marysville, WA 98270-4274 | 2006-08-31 |
| 1396850459 | Steven Alan Ledtke | Family Medicine | 875 Michigan Ave, Marysville, MI 48040-1404 | 2006-08-20 |
| 1992726525 | William J Irvine | Family Medicine | 11271 Loma Rica Rd, Marysville, CA 95901-8728 | 2006-07-21 |
| 1811913270 | John M Ryan | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-15 |
| 1821029687 | Jay Donald Grassell | Family Medicine | 414 G Street, Ste 210, Marysville, CA 95901 | 2006-07-06 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 17053 |
Please comment or provide details below to improve the information on DR. MARTIN J WALL.
| 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.