Shawn William Walls, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

59000193 Issued in OH

Practice address

5463 N Bend Rd
Cincinnati, OH 45247-7620

Phone

(513) 385-7733

Fax

(513) 385-7703

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Centers for Foot & Ankle Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, OH
  • NPI 1538570353

  Foot & Ankle Surgery

  NPD (past)
• Centers for Foot & Ankle Care LLC

  • Foot & Ankle Surgery Podiatrist
  • Lawrenceburg, IN
  • NPI 1518942028
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1952433203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MERCHANT STREET",
            "address_2": "SUITE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463740",
            "telephone_number": "513-385-7733",
            "fax_number": "513-385-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5463 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477620",
            "telephone_number": "513-385-7733",
            "fax_number": "513-385-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "SHAWN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59000193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264580",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2950310",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200951110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cary N Wallis, PSY.D.
• Megan Wallis
• Christina Wallpe, L.P.N.
• Bruce Walls, MD
• Kristen Ann Walls, RN
• Jennifer Wallsteadt, LLMSW
• James A Walro, P.T.
• Julie Walroth, RN
• Allison Walsh
• Elizabeth Clare Walsh, DDS

• Foot & Ankle Surgery Podiatrist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.