Organization Active NPI

James F. Wall MD LLC

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1871703785
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14803 Issued in OK
Legal business name
JAMES F. WALL MD LLC
Doing business as
James F. Wall MD
Practice address
4301 NW 63Rd St
Suite 205
Oklahoma City, OK 73116-1504
Phone
(405) 917-9094
Fax
(405) 917-9096
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
James Frank Wall, MD
Title
MD
Phone
(405) 917-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 14803 OK Primary

Addresses

Primary practice location

4301 NW 63Rd St
Suite 205
Oklahoma City, OK 73116-1504

Mailing address

6608 N. Western Ave
#473
Oklahoma City, OK 73116-7326
Phone (405) 917-9094

Other identifiers 2

IdentifierTypeStateIssuer
100032000EMedicaidOK
100032000DMedicaidOK

Other names 1

  • James F. Wall MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1871703785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 N. WESTERN AVE",
            "address_2": "#473",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167326",
            "telephone_number": "405-917-9094",
            "fax_number": "405-917-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST",
            "address_2": "SUITE 205",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161504",
            "telephone_number": "405-917-9094",
            "fax_number": "405-917-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. WALL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "405-917-9094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "14803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032000E",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032000D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James F. Wall MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.