Robert J Wallner, DO

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

OS002166L Issued in PA

Practice address

700 E Broad St
Hazleton, PA 18201-6835

Phone

(215) 663-5910

Fax

(215) 379-8458

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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

• Jeanes Radiology Associates LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1639110240
  NPD (past)
• Rittenhouse Imaging Center, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Bryn Mawr, PA
  • NPI 1962458034
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154334431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE",
            "address_2": "SUITE 150",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462627",
            "telephone_number": "215-663-5910",
            "fax_number": "215-379-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "215-663-5910",
            "fax_number": "215-379-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLNER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "PA",
            "license": "OS002166L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Velez, MD
• Bethany Anne Venit, MD
• Barbara A Vilushis, DO
• Frank James Vita, PHD
• James Joseph Walker
• Matthew Thomas Walter, LPC
• Donna Wanchisen, OTR/L
• Waschko Pharmacy
• Waschkos Pharmacy Inc
• Weis Markets Inc (Weis Pharmacy)

• Magnetic Resonance Imaging Radiologic Technologist in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.