Andrew Wall, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

323039 Issued in LA

Practice address

1 Medical Center Dr
Morgantown, WV 26506-1200

Phone

(304) 293-7215

Fax

(304) 293-6702

NPI assigned

Mar 20, 2017

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

Enrolled in LA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awall1864181@direct.ochsner.org
• Direct secure messaging: awall5314396@direct.casso.us.com

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.

• Acadiana Acute Care Associates, LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1255566626
  Medicare reassignment NPD
• Calcasieu Emergency Group LLC

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1215996467
  Medicare reassignment
• Congress Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1912316944
  Medicare reassignment

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1164963492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539 W END BLVD # A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-293-7215",
            "fax_number": "304-293-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "323039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Walker
• Jeremie A Walker, M.D.
• Joyce Walker, RN
• Nicole Walker
• Nikita Sue-Ann Walker
• Amanda Wallace
• Kimberly Ann Wallace, NP-C
• Janet Walleck, CRNA
• Wallflower Connection Therapy Services PLLC
• Barry David Walling, MD

• Emergency Medicine Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.