DR. JOHN DOUGLAS WALL (NPI# 1669474656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669474656 |
| Entity Type | Individual |
| Full Name | DR. JOHN DOUGLAS WALL |
| Credential | M. D. |
| Practice Address |
9304 Forest Point Cir Manassas VA 20110-4700 |
| Practice Telephone | 7033681969 |
| Practice Fax Number | 7033694164 |
| Mailing Telephone | 7033681969 |
| Mailing Fax Number | 7033694164 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
0101044866 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6240259 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538661665 | John Wall | Counselor | 111 Sequoyah Ln, Altus, OK 73521-1756 | 2018-03-05 |
| 1982725628 | John Thomas Wall | Chiropractor | 218 E. Woodin Avenue, Chelan, WA 98816-1180 | 2007-04-02 |
| 1154441137 | John P Wall | Occupational Therapist | 2 Bon Aire Ter, Pittston, PA 18640-3202 | 2007-03-31 |
| 1396880738 | John Edward Wall | Pharmacist | 26317 W. Washington Street Extended, Petersburg, VA 23803-0030 | 2007-02-21 |
| 1972694396 | John Charles Blakely Wall | Chiropractor | 1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471 | 2006-09-28 |
| 1114347689 | John Robert Wall IIi | Anesthesiology | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2014-04-23 |
| 1528116464 | John K. Wall | Emergency Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1417058827 | John Gregory Wall | Dentist | 404 People Pl, Suite 301, Charlottesville, VA 22911-3565 | 2006-09-26 |
| 1316044324 | John Wall | Nurse Anesthetist, Certified Registered | 800 E Locust St, Olney, IL 62450-2553 | 2006-09-20 |
| 1942317292 | John P. Wall | Family Medicine | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2006-08-24 |
| Street Address |
9304 FOREST POINT CIR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776757 | Michael Warner | Obstetrics & Gynecology | 9304 Forest Point Cir, Manassas, VA 20110-4700 | 2005-08-10 |
| 1992821342 | Virginia Women's Health Associates, Ltd | Obstetrics & Gynecology | 9304 Forest Point Cir, Manassas, VA 20110-4700 | 2007-03-21 |
| 1154323004 | Edmund S Petrilli | Obstetrics & Gynecology | 9304 Forest Point Cir, Manassas, VA 20110-4700 | 2005-08-11 |
| 1134121908 | Raymond Mccue | Obstetrics & Gynecology | 9304 Forest Point Cir, Manassas, VA 20110-4700 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609122449 | Shereen May Ansay Villamor | Obstetrics & Gynecology | 8640 Sudley Rd Ste 303, Manassas, VA 20110-4404 | 2012-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023495942 | Saliatou Maikarfi Jordan | Obstetrics & Gynecology | 4040 Fairfax Dr Ste 801, Arlington, VA 22203-1765 | 2015-04-29 |
| 1619232436 | Stephanie Stormes | Obstetrics & Gynecology | 1830 Town Center Dr Ste 309, Reston, VA 20190-3217 | 2012-07-09 |
| 1306999529 | Lexington Ob Gyn PC | Obstetrics & Gynecology | 110 Houston St, Lexington, VA 24450-2437 | 2007-01-19 |
| 1457404766 | Sonia Janet Salgado | Obstetrics & Gynecology | 5901 Kingstowne Village Pkwy Ste 200, Alexandria, VA 22315-5882 | 2007-01-19 |
| 1376605683 | Sulola Adekoya | Obstetrics & Gynecology | 109 Governor St Fl 13, Richmond, VA 23219-3623 | 2006-12-14 |
| 1568559433 | Lami Jeffrey Coker | Obstetrics & Gynecology | 2871 Duke Street, Alexandria, VA 22314 | 2006-10-10 |
| 1679671648 | Stefani J Filak | Obstetrics & Gynecology | 5021 Seminary Rd Ste 109, Alexandria, VA 22311-1923 | 2006-09-21 |
| 1851407191 | Miguel A Fernandez | Obstetrics & Gynecology | 1625 N George Mason Dr Ste 425, Arlington, VA 22205-3686 | 2006-08-21 |
| 1164496675 | Bita Motesharrei | Obstetrics & Gynecology | 1515 Chain Bridge Rd, Suite 314, Mc Lean, VA 22101-4451 | 2006-02-14 |
| 1336121052 | William A Cook IIi | Obstetrics & Gynecology | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-17 |
| 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.