Mpwall, M.D., P.C.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

MPWALL, M.D., P.C.

Practice address

940 Central Park Dr
Suite 207
Steamboat Springs, CO 80487-8816

Phone

(970) 879-3200

Fax

(970) 879-4608

NPI assigned

Oct 26, 2007

Last updated

Aug 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryann Purdy Wall, M.D.NPI 1528065695

Title

Doctor/Owner

Phone

(970) 879-3200

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Maryann Purdy Wall, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Steamboat Springs, CO
  • NPI 1528065695
  Authorized official Same address or phone

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1932388998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 207",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-879-3200",
            "fax_number": "970-879-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 207",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-879-3200",
            "fax_number": "970-879-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPWALL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "PURDY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "970-879-3200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01370105",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa M Minor, PA-C
• Alejandro David Miranda, M.D.
• Laura Mordi, M.D.
• Stanley Charles Morgan, MD
• Mountain Eyeworks LLC
• Bridget Mucha, NP
• Jenell Murphy, LPC
• Neil Ganz, D.D.S., P.C. (Rabbit Ears Dental Office)
• David W Niedermeier, M.D.
• Linda J. Nolte, PH.D.

• Otolaryngology/Facial Plastic Surgery Physician in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.