Wall Street Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WALL STREET INTERNAL MEDICINE

Practice address

73 Quarter Master CRT
Jeffersonville, IN 47130-3759

Phone

(812) 288-8360

Fax

(812) 288-8375

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chelsea Jane Nevitt, M.D

Title

Owner, Physician

Phone

(812) 288-8360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1952334252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 QUARTER MASTER CRT",
            "address_2": "SUITE 100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303759",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 QUARTER MASTER CRT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303759",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL STREET INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "NEVITT",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "812-288-8360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Walker Browning, MS, LPA, BCBA
• Abreona Walker, RBT
• Andrea Stigall Walker, D.O.
• Jonathan Walker, MA
• Lyric Walker, BS, RBT
• Wall Street Medical Group Inpatient Services LLC
• Kasaun Wall
• Brent Michael Walz, MD
• Riley Wampler
• Kara J Ward

• Internal Medicine Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.