JON COOPER WALL MD NPI 1407376163

NPI Information

  • NPI: 1407376163
  • Provider Name: JON COOPER WALL, MD
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17580 INTERSTATE 45 S
    THE WOODLANDS, TX
    ZIP 77384
  • Phone: (936) 267-5000

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NPI Details

Jon Cooper Wall, MD is a pediatric orthopaedic surgery orthopaedic surgery in The Woodlands, TX. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. Jon Cooper Wall, MD NPI is 1407376163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17580 INTERSTATE 45 S
THE WOODLANDS, TX
ZIP 77384-972
Phone: (936) 267-5000

The NPI 1407376163 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 enumeration date for this NPI number is 6/23/2017 and was last updated on 8/21/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramTEXASNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryU5836TEXASYes
3207X00000XOrthopaedic SurgeryBP10059625TEXASNo

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: 11/21/2025

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