STEPHEN C WALLER PA
NPI 1285678680
Physician Assistant in Chattanooga, TN
NPI Status: Active since June 15, 2006
Contact Information
6925 SHALLOWFORD RD
SUITE 206
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 894-0432
Fax: (423) 894-0475
- Individual
- Male
- Physician Assistant
About STEPHEN WALLER
This page provides the complete NPI Profile along with additional information for Stephen Waller, a primary care provider established in Chattanooga, Tennessee with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1285678680 assigned on June 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA0000000545 (TN). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1285678680
- Provider Name
- STEPHEN C WALLER PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6925 SHALLOWFORD RD SUITE 206 CHATTANOOGA, TN 37421
- Location Phone
- (423) 894-0432
- Location Fax
- (423) 894-0475
- Mailing Address
- 6925 SHALLOWFORD RD SUITE 206 CHATTANOOGA, TN 37421
- Mailing Phone
- (423) 894-0432
- Mailing Fax
- (423) 894-0475
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 10-06-2008
- Code Navigator
A primary care provider (PCP) like Stephen Waller sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA0000000545
- License State
- TN
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P15987 | MEDICARE UPIN (02) | ||
| 1285678680 | OTHER (01) | TN | NPI |
| 1016710001 | MEDICARE NSC (07) | TN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 7 | 8 | 6 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 7 | 16 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 6 + 6 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1285678680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659459139 | GEOFFREY DEANE PETERSON APN Individual | Nurse Practitioner | 6925 SHALLOWFORD RD APT 206 CHATTANOOGA, TN 37421 (423) 894-0432 |
| 1790831113 | MEDTECH ENTERPRISES Organization | Durable Medical Equipment & Medical Supplies | 6925 SHALLOWFORD RD 207 CHATTANOOGA, TN 37421 (423) 304-2879 |
| 1730382391 | SPORT MED PHYSICAL THERAPY Organization | Physical Therapist | 6925 SHALLOWFORD RD SUITE 207 CHATTANOOGA, TN 37421 (423) 322-9523 |
| 1205666021 | JUST THE RIGHT TOUCH Organization | In Home Supportive Care | 6925 SHALLOWFORD RD CHATTANOOGA, TN 37421 (423) 708-5472 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285678680, enumerated in the NPI registry as an "individual" on June 15, 2006
The provider is located at 6925 Shallowford Rd Suite 206 Chattanooga, Tn 37421 and the phone number is (423) 894-0432
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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