Timothy Bernard Walls (NPI# 1053607697, PAC ID# 0840564472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1053607697 |
| PAC ID by PECOS | 0840564472 |
| Professional Enrollment ID | I20170921000127 |
| Full Name | Timothy Bernard Walls |
| Organization Legal Name | PATHOLOGY SCIENCES MEDICAL GROUP PC |
| Address |
1060 1st Colonial Rd Virginia Beach VA 23454-3002 |
| Phone Number | 7573956882 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7315840261 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| 490046 | SENTARA LEIGH HOSPITAL |
| 490004 | SENTARA RMH MEDICAL CENTER |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1144 N Rd St, Elizabeth City, NC 27909-3473 | 2523844763 | PATHOLOGY SCIENCES MEDICAL GROUP PC |
| 600 Gresham Dr, Norfolk, VA 23507-1904 | 7576683221 | PATHOLOGY SCIENCES MEDICAL GROUP PC |
| 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 | 7573956882 | PATHOLOGY SCIENCES MEDICAL GROUP PC |
| Organization Legal Name | PATHOLOGY SCIENCES MEDICAL GROUP PC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David G Marcheschi | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Wendy Rizzo | Pathology | Pathology Sciences Medical Group PC | 600 Gresham Dr, Norfolk, VA 23507-1904 |
| Barbara H. Amaker | Pathology | Pathology Sciences Medical Group PC | 6333 Ctr Dr, Suite 16, Norfolk, VA 23502-4126 |
| James Post | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| James Smith | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Jimmy W. Green | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Stephen I. Fisher | Pathology | Pathology Sciences Medical Group PC | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Scott J. Stanley | Pathology | Pathology Sciences Medical Group PC | 2800 Godwin Blvd, Suffolk, VA 23434-8038 |
| Audrey E Steck | Pathology | Pathology Sciences Medical Group PC | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Niria Sanchez | Pathology | Pathology Sciences Medical Group PC | 600 Gresham Dr, Norfolk, VA 23507-1904 |
| Street Address |
1060 1ST COLONIAL RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23454-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Clements | Certified Registered Nurse Anesthetist (crna) | Atlantic Anesthesia, Inc | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Sarah A Nalle | Certified Registered Nurse Anesthetist (crna) | Atlantic Anesthesia, Inc | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Francis T Verfurth | Anesthesiology | Consultants In Pain Management, Inc | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Teresa A Johnes | Certified Registered Nurse Anesthetist (crna) | Atlantic Anesthesia, Inc | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Marina Y Blajkevich | Hospitalist | Sentara Medical Group | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Brenna Alyssa Kenney | Nurse Practitioner | Sentara Medical Group | 1060 1st Colonial Rd, 1st, Virginia Beach, VA 23454-3002 |
| Heidi Lerner | Certified Registered Nurse Anesthetist (crna) | Atlantic Anesthesia, Inc | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Todd M Berry | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Matthew W Isenhower | Anesthesiology | Consultants In Pain Management, Inc | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Youjun Shen | Pathology | General Hospital Pathologists Ltd | 1060 1st Colonial Rd, Virginia Beach, VA 23454-3002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devin Devoe Williams | Optometry | Virginia Beach Eye Center, PC | 465 N Geat Neck Rd, Virginia Beach, VA 23454 |
| David Lee Werwath | Emergency Medicine | 1788 Republic Dr, Suite 400, Virginia Beach, VA 23454 | |
| Martin Vt Ton | Pain Management | 1060 1st Colonial Rd, Virginia Beach, VA 23454 | |
| Christopher J Kurz | Ophthalmology | Virginia Beach Eye Center, PC | 465 N Geat Neck Rd, Virginia Beach, VA 23454 |
| Samuel Noel Garrett | Ophthalmology | Virginia Beach Eye Center, PC | 465 N Geat Neck Rd, Virginia Beach, VA 23454 |
| Leonard R Cajulis | Hospice/palliative Care | First Health Medical Practice | 1060 1st Colonial Rd, Virginia Beach, VA 23454-0685 |
| Gregory J Warth | Internal Medicine | First Health Medical Practice | 1060 1st Colonial Rd, Virginia Beach, VA 23454-0685 |
| Barbara L Parks | Internal Medicine | First Health Medical Practice | 1060 1st Colonial Rd, Virginia Beach, VA 23454-0685 |
| David James Tang | Optometry | Beach Eye Care Inc | 2173 Upton Dr, Suite 601, Virginia Beach, VA 23454-1288 |
| Jenni L Johnson | Optometry | Elizabeth M Borza Od Inc | 2201 Upton Dr, Suite 902, Virginia Beach, VA 23454-1292 |
| Find all physicians in zip 23454 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
| Specialty | PATHOLOGY |
| City + Specialty | VIRGINIA BEACH + PATHOLOGY |
Please comment or provide details below to improve the information on Timothy Bernard Walls.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.