Carole Wall, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA002364-L Issued in PA

Practice address

49 Rolling LN
Levittown, PA 19055-1112

Phone

(215) 946-8111

NPI assigned

Jul 18, 2006

Sex

Female

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

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7171/brand/1/csg/1/fhir/r4

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.

• Levittown Family Medical Center, P.C.

  • Family Medicine Physician
  • Levittown, PA
  • NPI 1154357689
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194743997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ROLLING LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551112",
            "telephone_number": "215-946-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ROLLING LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551112",
            "telephone_number": "215-946-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "CAROLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002364-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rachel Waitkevich, D.C.
• Wal-Mart Stores East LP
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Kathryn Wallace
• Michelle M Wallace, PT
• Gabriel Wang
• Joseph Ware, PHARM D
• Wee Care Africa

• Physician Assistant in Levittown, PA
• Providers in Levittown, PA by specialty
• Physician Assistant 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.