DR. MICHAEL S WALL (NPI# 1780616847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780616847 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S WALL |
| Credential | MD |
| Practice Address |
500 Arguello St Ste 100 Redwood City CA 94063 |
| Practice Telephone | 6508514900 |
| Practice Fax Number | 6509951202 |
| Mailing Telephone | 6508514900 |
| Mailing Fax Number | 6509951202 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
G71052 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
| 1669799805 | Michael Wayne Wall | Counselor | 784 W Lebanon St, Mount Airy, NC 27030-2218 | 2010-04-28 |
| 1932346897 | Michael Vincent Wall | Dentist | 3552 W Glendale Ave, Ste. B, Phoenix, AZ 85051-8358 | 2009-01-14 |
| 1053520593 | Michael Lee Wall II | Chiropractor | 13412 Pacific Ave S, Tacoma, WA 98444-4866 | 2007-05-22 |
| 1194940924 | Michael James Wall | Dentist | 45 1048 Kam Hwy, Suite B, Kaneohe, HI 96744 | 2007-04-16 |
| 1063552586 | Michael Patrick Wall | Social Worker | 692 Ritchie Hwy, Suite 203, Severna Park, MD 21146-3919 | 2007-02-07 |
| 1396842589 | Michael Shane Wall | Dentist | 506 Gentilly Road, Statesboro, GA 30458 | 2006-09-20 |
| 1235600529 | Michael Wall | Community Health Worker | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2018-12-11 |
| 1407244007 | Michael Andrew Wall | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2015-01-05 |
| 1356657472 | Michael Wall | Massage Therapist | 18920 Bothell Way Ne, #204, Bothell, WA 98011-1981 | 2010-08-26 |
| Street Address |
500 ARGUELLO ST STE 100 |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861928814 | Jean-olivier Tetreault Paquin | Orthopaedic Surgery | 500 Arguello St, Suite 100, Redwood City, CA 94063-1566 | 2017-05-11 |
| 1568764553 | Margaret Elaine Hermoso | Registered Nurse | 500 Arguello St, Suite 100, Redwood City, CA 94063-1566 | 2010-11-23 |
| 1851554422 | Alexander Rose Disston | Orthopaedic Surgery | 500 Arguello St, Ste 100, Redwood City, CA 94063-1566 | 2008-07-03 |
| 1295930907 | Neeti Bathia | Physical Medicine & Rehabilitation | 500 Arguello St, Suite 100, Redwood City, CA 94063-1566 | 2007-06-21 |
| 1538227707 | Sports Orthopedic and Rehabilitation Medicine Associates | Orthopaedic Surgery | 500 Arguello St, Ste 100, Redwood City, CA 94063-1566 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808765 | Michael F Dillingham | Orthopaedic Surgery | 500 Arguell St, #100, Redwood City, CA 94063 | 2006-07-07 |
| 1861928814 | Jean-olivier Tetreault Paquin | Orthopaedic Surgery | 500 Arguello St, Suite 100, Redwood City, CA 94063-1566 | 2017-05-11 |
| 1346261682 | George Thabit IIi | Orthopaedic Surgery | 500 Arguello Street, Suite 100, Redwood City, CA 94063 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.