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

Last updated

Oct 5, 2015By the provider in NPPES

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

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.

• Tampa Bay Orthopaedic & Spine, LLC

  • Pain Medicine Physician
  • Clearwater, FL
  • NPI 1285860007
  Authorized official Same address or phone

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": []
}

• Walgreen Co (Walgreens #15394)
• Alexa Denise Walker, APRN
• Evelyn Walker
• James D Walker, PTA
• Joyce Lynn Walker, LMHC
• 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.