ROMITA L WALLEN MD NPI 1356332563

NPI Information

NPI: 1356332563
Provider Name: ROMITA L WALLEN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2736 RUSH HAVEN DR
MT PLEASANT, SC
ZIP 29466
Phone: (843) 881-7477
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Romita L Wallen, MD is a family medicine in Mt Pleasant, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Romita L Wallen, MD NPI is 1356332563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2736 RUSH HAVEN DR
MT PLEASANT, SC
ZIP 29466-578
Phone: (843) 881-7477
Fax: (843) 881-7477

The enumeration date for this NPI number is 11/4/2005 and was last updated on 10/1/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		23719	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	237194	MEDICAID	SOUTH CAROLINA
2	H932331403	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
3	H93233	MEDICARE UPIN	SOUTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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