Theodore John Waller (NPI# 1386609881, PAC ID# 6901795798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1386609881 |
| PAC ID by PECOS | 6901795798 |
| Professional Enrollment ID | I20041020001280 |
| Full Name | Theodore John Waller |
| Organization Legal Name | THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC |
| Address |
2139 Auburn Ave Cincinnati OH 45219-2906 |
| Phone Number | 5135852000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1658449715 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360163 | CHRIST HOSPITAL |
| 360179 | BETHESDA NORTH |
| 151329 | MARGARET MARY COMMUNITY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 321 Mitchell Ave, Batesville, IN 47006-8909 | 8129335110 | THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC |
| 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 5135852000 | THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC |
| Organization Legal Name | THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Michael O'brien | Advanced Heart Failure and Transplant Cardiology | The Christ Hospital Cardiovascular Associates LLC | 2123 Auburn Ave, Suite 136, Cincinnati, OH 45219-2906 |
| Eugene S Chung | Advanced Heart Failure and Transplant Cardiology | The Christ Hospital Cardiovascular Associates LLC | 2123 Auburn Ave, Suite 136, Cincinnati, OH 45219-2906 |
| Jeffrey M Griffin | Thoracic Surgery | The Christ Hospital Cardiovascular Associates LLC | 2123 Auburn Ave, Suite 139, Cincinnati, OH 45219-2906 |
| Geoffrey Answini | Cardiac Surgery | The Christ Hospital Cardiovascular Associates LLC | 2123 Auburn Ave, Suite 139, Cincinnati, OH 45219-2906 |
| Tashia Bailey | Nurse Practitioner | The Christ Hospital Cardiovascular Associates LLC | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Wesley W Young | Physician Assistant | The Christ Hospital Cardiovascular Associates LLC | 2123 Auburn Ave, Cincinnati, OH 45219-2906 |
| Joseph Barone | Nurse Practitioner | The Christ Hospital Cardiovascular Associates LLC | 7545 Beechmont Ave, Suite D, Cincinnati, OH 45255-4205 |
| Jessica Lynn Hendrix | Nurse Practitioner | The Christ Hospital Cardiovascular Associates LLC | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Timothy D Henry | Interventional Cardiology | The Christ Hospital Cardiovascular Associates LLC | 2123 Auburn Ave, Suite 136, Cincinnati, OH 45219-2906 |
| Madhukar Gupta | Cardiac Electrophysiology | The Christ Hospital Cardiovascular Associates LLC | 6939 Cox Rd, Liberty Township, OH 45069-7595 |
| Street Address |
2139 AUBURN AVE |
| City | CINCINNATI |
| State | OH |
| Zip | 45219-2906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford A Curt | Neurosurgery | Mayfield Clinic Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Lauren Faye Smith | Nurse Practitioner | Christ Hospital Orthopedic Associates LLC | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Alexander Montavon | Anesthesiology Assistant | Anesthesia Associates of Cincinnati, Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Dave Allen Wright | Anesthesiology | Anesthesia Associates of Cincinnati, Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Robert Steven Jacob | Anesthesiology | Anesthesia Associates of Cincinnati, Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Sarah E Bartlett | Obstetrics/gynecology | Somi Javaid Md and Associates LLC | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| John Bora Tezel | Diagnostic Radiology | Professional Radiology Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Cathy L Sheehy | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Cincinnati, Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Brenda J Christopher | Anesthesiology | Anesthesia Associates of Cincinnati, Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Stephen Powell | Anesthesiology | Anesthesia Associates of Cincinnati, Inc | 2139 Auburn Ave, Cincinnati, OH 45219-2906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Ann Katz | Obstetrics/gynecology | 71 E Hollister St, Cincinnati, OH 45219-1703 | |
| Ronald A Sachs | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Deborah Andrews | Psychologist, Clinical | 48 E Hollister St, Cincinnati, OH 45219-1704 | |
| Janet Z Brinn | Psychologist, Clinical | 48 E Hollister St, Cincinnati, OH 45219-1704 | |
| Neil S Dubin | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Eugene J Van Leeuwen | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| David Gregory Leonard | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Christopher C Rowe | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Paul T Droessler | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Jasmine N Shafto | Nurse Practitioner | Psychological and Behavioral Consultants, Inc. | 130 Wellington Pl, Cincinnati, OH 45219-1710 |
| Find all physicians in zip 45219 | |||
| City | CINCINNATI |
| Zip Code | 45219 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | CINCINNATI + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Theodore John Waller.
| 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.