Rolf Bolin Wallin, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

29513 Issued in NC

Practice address

1781 Metromedical Dr
Fayetteville, NC 28304-3862

Phone

(828) 254-1969

Fax

(828) 254-4611

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598808990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE RD",
            "address_2": "SUITE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033131",
            "telephone_number": "828-254-1969",
            "fax_number": "828-254-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043862",
            "telephone_number": "828-254-1969",
            "fax_number": "828-254-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "ROLF",
        "middle_name": "BOLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "29513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985526",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Greene Wall, LCSW
• Kelsi Noelle Wallace, OT
• Samantha Anne Wallace, MA, CCC-SLP
• Susan Taylor Wallace
• Tamika Shavone Wallace, LCSW- A
• Katina Walline, PA-C
• Walmart Neighborhood Market
• Mary M. Walsh, OTR/L, CHT
• Rhonda Ellen Walsh, LCAS-A
• Sara Elizabeth Walsh, PA-C

• Anesthesiology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Anesthesiology Physician in North Carolina

• 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.