John Robert Wall III, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

UO3793 Issued in FL

Practice address

7031 SW 62ND Ave
South Miami, FL 33143-4701

Phone

(305) 284-7761

NPI assigned

Apr 23, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

Philadelphia College of Osteopathic Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amsol Anesthetists of Georgia, LLCGroup PAC ID 5193780955, 26 clinicians

Hospitalist Medicine Physicians of Georgia - TCS, PCGroup PAC ID 3971024910, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amsol Anesthetists of Georgia, LLC

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1649224775

  AL, Anesthesiology

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Georgia - TCS, PC

  • Anesthesiology Physician
  • Columbus, GA
  • NPI 1033926191
  Medicare reassignment Care Compare group NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794
  Medicare reassignment NPD
• Amsol Anesthetists of Georgia LLC-Hughston Surgical Center

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1164708400
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308
  Care Compare affiliation
• Russell County Community Hospital LLC

  • General Acute Care Hospital
  • Phenix City, AL
  • NPI 1023050101
  Care Compare affiliation
• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1114347689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701",
            "telephone_number": "305-284-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "UO3793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waclion International, Inc
• Joanna P Wahl, D.O
• Tracy Joy Wainger, AGACNP-BC
• Patrick Waldron, DO
• Walgreen Co
• Danielle Monique Ward, DO, MS
• Judy Laura-Ann Ward, M.D.
• Sarah Watson
• Mario Weber, LMHC
• Jeremy Luke Wehking, P.T.

• Anesthesiology Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.