David Michael Wall, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

48335 Issued in FL

Practice address

1811 N Belcher Rd
Suite H-2
Clearwater, FL 33765-1433

Phone

(727) 724-6373

Fax

(727) 724-6377

NPI assigned

Oct 19, 2007

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 FL

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

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1235328873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N BELCHER RD",
            "address_2": "SUITE H-2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651433",
            "telephone_number": "727-672-4637",
            "fax_number": "727-724-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N BELCHER RD",
            "address_2": "SUITE H-2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651433",
            "telephone_number": "727-724-6373",
            "fax_number": "727-724-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "48335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Denise Walker, APRN
• Evelyn Walker
• James D Walker, PTA
• Joyce Lynn Walker, LMHC
• Stacy E Walker, D.C.
• Cassandra Ann Wallace-Wical, ARNP
• Laura Wallace, ARNP
• Matthew A Wallace
• Paul R. Wallace, M.D.
• Richard Peterkin Wallace, M.D.

• Pain Medicine (Anesthesiology) Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.