PAMELA WALL


Address: 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860
Phone: 3172571484

PAMELA WALL (NPI# 1417239591) 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) 1417239591
Entity Type Individual
Full Name PAMELA WALL
Credential PA
Practice Address 931 E 86th St
Suite 104
Indianapolis
IN 46240-1860
Practice Telephone 3172571484
Practice Fax Number 3172571488
Mailing Telephone 3172571484
Mailing Fax Number 3172571488
Enumeration Date 2011-09-14
Last Update Date 2014-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
10000381A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers PAMELA WALL

NPI Name Taxonomy Address Enumeration
1114299146 Pamela Wall Social Worker 9794 Bains Road, Saint Francisville, LA 70775 2012-02-07
1629283296 Pamela J Wall Massage Therapist 18 S Maple St, Eldon, MO 65026-1834 2007-05-14

Office Location

Street Address 931 E 86TH ST
SUITE 104
City INDIANAPOLIS
State IN
Zip Code 46240-1860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831169036 Sonya Furnae Campbell Johnson Dermatology 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 2006-01-23
1013353051 Counseling Associates Counselor 931 E 86th St, Ste. 101, Indianapolis, IN 46240-1860 2013-05-17
1750685731 Ty Campbell Dds, LLC Dentist 931 E 86th St, Suite 207, Indianapolis, IN 46240-1860 2011-01-05
1639483704 Dermatology Associates, P.C. Specialist 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 2010-08-01
1750419404 Tyrus W Campbell Dentist 931 E 86th St, Suite 207, Indianapolis, IN 46240-1860 2007-03-02
1235282914 Cynthia Marie Ragsdale Counselor 931 E 86th St, Ste. 101, Indianapolis, IN 46240-1860 2007-01-18
1598825648 Lois J Bushong Marriage & Family Therapist 931 E 86th St, Suite 101, Indianapolis, IN 46240-1860 2006-12-11
1023061686 Heartland Hospice Services LLC Hospice Care, Community Based 931 E 86th St, Suite 208, Indianapolis, IN 46240-1852 2006-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124674908 Indianapolis Neurobehavioral Health Center LLC Psychologist 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 2019-08-16
1720507999 Refractive Surgery Professionals LLC Clinic/Center 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 2017-09-19
1184148892 Hannah Hoyt Specialist/Technologist 9504 N. Washington Blvd, Indianapolis, IN 46240 2017-08-03
1134657455 Donann Kissick Speech-Language Pathologist 450 E 96th St., Suite 500, Indianapolis, IN 46240 2017-05-31
1992138804 George Byington Pratt IIi Radiology 9015 Crystal Lake Drive, Indianapolis, IN 46240 2013-08-14
1871934513 Kayla Harpenau Occupational Therapist 7405 Westfield Blvd, Indianapolis, IN 46240 2013-07-10
1235483835 Christina Marie Wilson Nurse Practitioner 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 2012-11-04
1770850927 Holly Bergeron Pharmacist 1505 E 86th Street, Indianapolis, IN 46240 2011-11-16
1104128214 Meghan Kyle Fricke Physician Assistant 860 E 86th St Ste 4, Indianapolis, IN 46240 2010-11-22
1689901118 Katherine Jane Russell Audiologist 2001 W. 86th St., Indianapolis, IN 46240 2009-11-04
Find all providers in zip 46240

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124634936 Brilyn Michelle Banister Physician Assistant 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 2020-09-17
1386290625 Douglas R Day Physician Assistant 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 2019-08-13
1841851409 Rachel Jagrowski Physician Assistant 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 2019-06-25
1407311814 William Peter Thompson Physician Assistant 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 2019-02-11
1912492679 Katherine Barrett Tenbarge Physician Assistant 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 2018-06-26
1154843704 Jennifer Trapuzzano Physician Assistant 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202-1196 2017-07-14
1154879666 Grace Schultz Physician Assistant 1408 Broadway St Apt F, Indianapolis, IN 46202-2744 2016-09-13
1477925071 Samantha Kitcoff Physician Assistant 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 2015-10-22
1386040046 Maham Mushtaq Physician Assistant 5759 James Blair Dr, Indianapolis, IN 46234-3226 2014-11-07
1285030924 Margaret Anne Voelker-park Physician Assistant 550 University Blvd Unit 3240, Indianapolis, IN 46202-5250 2014-11-07
Find all providers in INDIANAPOLIS

Competitor

Search similar providers

City INDIANAPOLIS
Zip Code 46240

Improve Information

Please comment or provide details below to improve the information on PAMELA WALL.

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.

Trending Searches