DAVID F WALLER


Address: 4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048
Phone: 7574837100

DAVID F WALLER (NPI# 1518966688) 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) 1518966688
Entity Type Individual
Full Name DAVID F WALLER
Credential MD
Practice Address 4868 Bridge Rd
Suite 300
Suffolk
VA 23435-2048
Practice Telephone 7574837100
Practice Fax Number 7574837150
Mailing Telephone 7574837100
Mailing Fax Number 7574837150
Enumeration Date 2005-07-20
Last Update Date 2013-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 0101047125 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 005623260 05

Other Providers DAVID WALLER

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1023242286 David Louis Waller Jr. Physician Assistant 60 Township Line Rd, Elkins Park, PA 19027-2220 2009-05-03
1588728471 David A Waller Psychiatry & Neurology 5323 Harry Hines Blvd, Dallas, TX 75390-7208 2006-12-22

Office Location

Street Address 4868 BRIDGE RD
SUITE 300
City SUFFOLK
State VA
Zip Code 23435-2048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205213279 Benedict Ngwa Nurse Practitioner 4868 Bridge Rd, Suffolk, VA 23435-2048 2015-04-29
1417365438 Abhishek Agarwal Internal Medicine 4868 Bridge Rd, Suffolk, VA 23435-2048 2014-07-23
1417267410 Lakeview Medical Center, Inc Clinic/Center 4868 Bridge Rd, Suffolk, VA 23435-2048 2010-10-12
1720316185 Diane E Sampson Pediatrics 4868 Bridge Rd, Suffolk, VA 23435-2048 2009-11-24
1598985459 Joseph Peter Barreca Jr. Surgery 4868 Bridge Rd, Suffolk, VA 23435-2048 2007-04-25
1205899796 Julie Anne Holz Pediatrics 4868 Bridge Rd, Suffolk, VA 23435-2048 2006-04-07
1174594352 Laura Schuetz Wright Pediatrics 4868 Bridge Rd, Suffolk, VA 23435-2048 2006-01-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902423700 Sean Eric Surber Physical Therapist 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 2020-06-29
1871158691 Lumen Flux Pllc Dentist 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 2019-05-07
1588175970 Louisa Catherine Korte Anesthesiology 3107 Summerhouse Drive, Suffolk, VA 23435 2017-10-12
1134648686 Nicole Short Brown Non-emergency Medical Transport (VAN) 782 D Bennetts Meadow Lane, Suffolk, VA 23435 2017-09-15
1104346923 Southerncare, Inc. Hospice Care, Community Based 1037 Champions Way Ste 600, Suffolk, VA 23435 2017-06-22
1801245329 Usn Military Hospital 3602 Traverse Circle, Suffolk, VA 23435 2016-06-06
1366836173 Vernon Johnson Counselor 6805 Castlewood Avenue, Suffolk, VA 23435 2015-03-19
1265776751 Sister's Developing Growth & Change, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6101 Bradford Drive #b, Suffolk, VA 23435 2012-11-21
1770899247 Lefcoe, Weinstein, Sachs, Schiff & Associates Dentist 210 Meadow View Boulevard, Suffolk, VA 23435 2010-08-23
1770805178 Nikkiah Wyatt Smith Counselor 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 2010-02-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891287611 Franklin Clinic Corp Family Medicine 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 2018-06-06
1922418235 Maryview Hospital Family Medicine 148 Burnetts Way, Ste 107, Suffolk, VA 23434-6149 2014-05-08
1164687190 Margie Pantangco Pascual Family Medicine 5818-d Harbour View Blvd, Suite 250, Suffolk, VA 23435 2008-07-18
1083804728 Franklin Clinic Corp Family Medicine 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 2007-07-30
1548463185 Mckenney Medical Group, Pllc Family Medicine 6712a S Quay Rd, Suffolk, VA 23437-8697 2007-06-11
1144437039 Center for Health and Diabetes, Pllc Family Medicine 131 N Saratoga St, Suffolk, VA 23434-5258 2007-05-17
1730263435 Monique Mccarter Lee Family Medicine 157 N Main St, Suite A, Suffolk, VA 23434-4565 2006-10-25
1104849132 Roger Guy Lever Family Medicine 2800 Godwin Blvd Fl 1, Suffolk, VA 23434-8038 2006-07-25
1962429498 Obici Medical Management Services, Inc Family Medicine 1548 Holland Rd # B, Suffolk, VA 23434-6528 2006-07-17
1144251687 Linda Kay Frey Family Medicine 2019 Meade Pkwy, Suffolk, VA 23434-4259 2006-07-05
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Competitor

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City SUFFOLK
Zip Code 23435

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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.

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