Wall Medical Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

180274-1205 Issued in UT

Legal business name

WALL MEDICAL INC

Practice address

8074 S 1300 E
Sandy, UT 84094-0743

Phone

(801) 565-6500

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Michael J Wall, MDNPI 1588675896

Title

Owner

Phone

(801) 294-6907

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Wall, MD

  • Internal Medicine Physician
  • Sandy, UT
  • NPI 1588675896
  Authorized official Same address or phone

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1457430019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "801-294-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940743",
            "telephone_number": "801-565-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-294-6907",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "180274-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #09464)
• Jesse Walker, DO
• Kathryn E Walker, MD
• Lisa Ann Walker, LCSW
• Michael T. Walker, AU.D.
• Michael J Wall, MD
• Bradley Wallace, DMD
• Renee Wallace, CSW
• Walmart Inc.
• Carol Wang

• Internal Medicine Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.