DR. COREY J WALLACH (NPI# 1417923863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417923863 |
| Entity Type | Individual |
| Full Name | DR. COREY J WALLACH |
| Credential | MD |
| Practice Address |
2445 Army Navy Drive The Anderson Clinic Arlington VA 22206 |
| Practice Telephone | 7038926500 |
| Practice Fax Number | 7038921550 |
| Mailing Telephone | 7038926500 |
| Mailing Fax Number | 7038921550 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD425770 | PA | Other Service Providers |
| N | 207X00000X | Orthopaedic Surgery | A95705 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A95705 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2445 ARMY NAVY DRIVE THE ANDERSON CLINIC |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871927376 | Alexandria Neighborhood Health Services, Inc. | Clinic/Center | 2445 Army Navy Drive, Attn: Sheila Tria, Arlington, VA 22030 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354052 | Kayla Criswell | Behavior Technician | 4510 31st Street, Apt 204, Arlington, VA 22206 | 2019-12-22 |
| 1336650852 | Roman De Los Santos | Dentist | Blvd Cucacpah #212, Jijuana, BAJA CALIFORNIA 22206 | 2017-10-24 |
| 1104337179 | Chandra Jeanne Burnside | Registered Nurse | 4654a 36th Street South, Arlington, VA 22206 | 2017-10-18 |
| 1861912784 | Bonnie Schultz | Social Worker | 4537a 28th Rd S., Arlington, VA 22206 | 2017-06-21 |
| 1477093201 | Roxana Estrada | Dentist | 23678-b Luisa Martinez, Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2017-02-27 |
| 1073063095 | Alfredo Soto Navarrete | General Acute Care Hospital | Hermenegildo Galeana 22412, Ejido Francisco Villa, Tijuana, BAJA CALIFORNIA 22206 | 2016-10-13 |
| 1245681238 | Wendolyne Nashelly Corona Leal | Dentist | Ave Isla Tiburon 3662, Lamas Del Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2016-06-30 |
| 1659784304 | Christine Brown Wright | Audiologist | 4714 30th Street South, Arlington, VA 22206 | 2014-06-10 |
| 1538583653 | Fernellas Quality Care | Nutritionist | 2300 24th Road South #624, Arlington, VA 22206 | 2014-02-10 |
| 1851637532 | Umera Abdullah Thebo | Internal Medicine | 2270 S Garfield Street, Unit #4, Arlington, VA 22206 | 2012-12-27 |
| Find all providers in zip 22206 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134562051 | Elliott Jiwoo Kim | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-10 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1447290044 | Michael Logan Ramsey | Orthopaedic Surgery | 800 Orthopedic Way, Arlington, TX 76015-1629 | 2006-06-08 |
| 1497740518 | Eric S. Wieser | Orthopaedic Surgery | 800 Orthopedic Way, Arlington, TX 76015-1629 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883192 | Spine Center PC | Orthopaedic Surgery | 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 | 2020-05-18 |
| 1992299598 | Hasz Spine Institute PC | Orthopaedic Surgery | 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 | 2018-06-18 |
| 1881188506 | Nikhil Jain | Orthopaedic Surgery | 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 | 2018-06-16 |
| 1922516806 | Joint Replacement Cin of Northern Virginia LLC | Orthopaedic Surgery | 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 | 2018-01-13 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| 1144403262 | Kirven Orthopedic Group, P.C. | Orthopaedic Surgery | 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 | 2007-12-12 |
| 1699859058 | Adel S Kebaish | Orthopaedic Surgery | 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 | 2006-10-24 |
| 1063469393 | Sohail K Mirza | Orthopaedic Surgery | 4250 Chain Bridge Rd, Fairfax, VA 22030-4214 | 2006-05-30 |
| 1659340412 | Thomas C Schuler | Orthopaedic Surgery | 11800 Sunrise Valley Dr Ste 600, Reston, VA 20191 | 2006-03-15 |
| 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.