Haven N Wall Jr MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

12141 Issued in WV

Legal business name

HAVEN N WALL JR MD INC

Practice address

RR 2 Box 171C
Lewisburg, WV 24901-9318

Phone

(304) 645-6083

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Haven N Wall, MD

Title

President

Phone

(304) 645-6083

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1710013081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249014046",
            "telephone_number": "304-645-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 171C",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019318",
            "telephone_number": "304-645-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN N WALL JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "HAVEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-645-6083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "12141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087282000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Hanshew, M.S., OTR/L
• Brianna Lynn Harper
• Shannon L Harper
• Kathlene Ferrell Harrington, OD
• Sidra Wasim Hashmi, MD
• Charles E Heal, RPH
• Jeanette S. Heal, FNP-BC
• Healing Waters Counseling and Consulting Services
• Gregory Hedrick
• Rhonda Helems

• Cardiovascular Disease Physician in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Cardiovascular Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.