Stephen Joseph Wall, M.D.,PH.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD32942 Issued in DC

Practice address

2021 K St NW Ste 400
Washington, DC 20006-1009

Phone

(202) 833-3500

Fax

(202) 833-3503

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA, WY, IA, NM4 enrollments

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 4

Specialty

Otolaryngology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nor-Lea Hospital DistrictGroup PAC ID 2466364534, 58 clinicians

Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.wall@1251.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Medical Center Inc

  dba MercyOne Medical Group Northeast Iowa

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491

  Multi-Specialty

  Medicare reassignment NPD
• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217

  Multi-Specialty

  Medicare reassignment NPD
• Covenant Medical Center, Inc.

  dba MercyOne Evansdale home medical equipment

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD
• Nor-Lea Hospital District

  dba Family Health Center of Lea County

  • Rural Health Clinic/Center
  • Hobbs, NM
  • NPI 1528002805
  NPD
• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1639158488

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center Inc

  dba MercyOne Waterloo Medical Center

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1861405706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061009",
            "telephone_number": "202-833-3500",
            "fax_number": "202-833-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061009",
            "telephone_number": "202-833-3500",
            "fax_number": "202-833-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD 32942",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD32942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS /BLUE SHIELD",
            "identifier": "B593 - 0004",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Wall, FNP
• Latoya Wall
• Michael Wall
• Russell Wall
• Shaunice Wall, DIETITIAN
• Thomas M Wall, D.D.S., P.C.
• Colleen Michelle Wallace McKay, M.D.
• James Gavin Wallace-Mercado, DNP, MSN, FNP-C
• Aaliyah Dianne Wallace
• Annie Wallace

• Otolaryngology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Otolaryngology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.