STEPHEN JAY WALL M.D.
NPI 1467454462
Pediatrics - Adolescent Medicine in Clyde, NC
NPI Status: Active since August 10, 2005
Contact Information
15 FACILITY DR
CLYDE, NC
ZIP 28721
Phone: (828) 452-2211
Fax: (828) 452-4421
- Individual
- Male
- Pediatrics
- Adolescent Medicine
About STEPHEN WALL
This page provides the complete NPI Profile along with additional information for Stephen Wall, a pediatrician established in Clyde, North Carolina with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1467454462 assigned on August 2005. The practitioner's primary taxonomy code is 2080A0000X with license number 38234 (NC). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1467454462
- Provider Name
- STEPHEN JAY WALL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15 FACILITY DR CLYDE, NC 28721
- Location Phone
- (828) 452-2211
- Location Fax
- (828) 452-4421
- Mailing Address
- 15 FACILITY DR CLYDE, NC 28721
- Mailing Phone
- (828) 452-2211
- Mailing Fax
- (828) 452-4421
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Stephen Wall is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 38234
- License State
- NC
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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 |
|---|---|---|---|
| 2210955 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 1270239 | OTHER (01) | UNITED HEALTHCARE | |
| F17433 | MEDICARE UPIN (02) | ||
| 8985406 | MEDICAID (05) | NC |
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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 | 4 | 6 | 7 | 4 | 5 | 4 | 4 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 8 | 5 | 8 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 8 + 5 + 8 + 4 + 1 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1467454462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932100138 | KARIN R. MCLELLAND M.D. Individual | Pediatrics (Adolescent Medicine) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1851393763 | STEVEN D. HAMMEL M.D. Individual | Pediatrics (Adolescent Medicine) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1679773360 | SARAH WEBB-WOOD M.D. Individual | Pediatrics | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1922275064 | ANNE M SARZYNSKI RN, MSN, PNP Individual | Nurse Practitioner (Pediatrics) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1992972947 | MELISSA F SOMMERICH MHS, PA-C Individual | Physician Assistant (Medical) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1043419666 | TYLER BAGLEY VEREEN M.D. Individual | Pediatrics | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1245231364 | HAYWOOD PEDIATRIC AND ADOLESCENT MEDICINE GROUP, P.A. Organization | Pediatrics (Adolescent Medicine) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1134551435 | KAREN SHAW Individual | Nurse Practitioner (Pediatrics) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1689925950 | KRISZTINA A TEGLASSY CRNP Individual | Nurse Practitioner (Pediatrics) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
| 1407857691 | MORRILL HARRINGTON WEAVER M.D. Individual | Pediatrics (Adolescent Medicine) | 15 FACILITY DR CLYDE, NC 28721 (828) 452-2211 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467454462, enumerated in the NPI registry as an "individual" on August 10, 2005
The provider is located at 15 Facility Dr Clyde, Nc 28721 and the phone number is (828) 452-2211
The provider's speciality is Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
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 August 10, 2005. 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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