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MARY JEAN WALL MD NPI 1265405237


NPI Information

NPI: 1265405237
Provider Name: MARY JEAN WALL, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1001 LAKESIDE AVE E STE 1200
CLEVELAND, OH
ZIP 44114
Phone: (216) 362-2000
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Mary Jean Wall, MD is a diagnostic radiology radiology in Cleveland, OH with 42 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mary Jean Wall, MD NPI is 1265405237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HAHNEMANN MEDICAL COLLEGE AND HOSPITAL - KANSAS CITY - NLG
Graduation Year:1982

The provider's business location address is:

1001 LAKESIDE AVE E STE 1200
CLEVELAND, OH
ZIP 44114-172
Phone: (216) 362-2000

The NPI 1265405237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan chest (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 11/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology35059303WOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11018989380001MEDICAIDPENNSYLVANIA
2E59751MEDICARE UPIN
3117710W3RMEDICARE PINPENNSYLVANIA
41018989380003MEDICAIDPENNSYLVANIA
54030138MEDICARE PINOHIO
64205301MEDICARE PINWEST VIRGINIA
71018989380002MEDICAIDPENNSYLVANIA
83810008142MEDICAIDWEST VIRGINIA
9P00286495OTHEROHIORAILROAD MC
10000000339383OTHEROHIOANTHEM
110783022MEDICAIDOHIO
12WA0895638MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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