Rod Alan Wall, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD017369E Issued in PA

Practice address

1123 Franklin St
Johnstown, PA 15905-4309

Phone

(814) 539-5340

NPI assigned

Jul 11, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Conemaugh Valley Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Johnstown, PA
  • NPI 1194802231

  Cardiovascular Disease

  NPD (past)
• Conemaugh Valley Memorial Hospital

  • Clinic/Center
  • Johnstown, PA
  • NPI 1407933534

  Cardiovascular Disease

  NPD (past)
• DLP Conemaugh Meyersdale Medical Center LLC

  dba Conemaugh Meyersdale Medical Center

  • Critical Access Hospital
  • Meyersdale, PA
  • NPI 1659376358
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356376305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SPEAR AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051646",
            "telephone_number": "814-539-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054309",
            "telephone_number": "814-539-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "ROD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD017369E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD017369E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006455980002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lyn Walker, DPT, ATC
• Lindsay Walker, PA-C
• Marci Walker
• Myranda Dawn Walker, PA-C
• Brian Edward Walkowski, M.D.
• Marc A Wallace, DO
• Pamela E Wallace, B.S.W., M.ED.
• Wayne Bradley Wallace, D.C.
• Walnut Management Corp (Walnut Medical Services)
• Walnut Management Corp (Walnut Medical Services)

• Cardiovascular Disease Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.