ESTER P J VAN DER WAL MD NPI 1508805466

NPI Information

NPI: 1508805466
Provider Name: ESTER P J VAN DER WAL, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: INDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC

PECOS Registration: Yes

Address:
121 S SAINT LOUIS BLVD
SOUTH BEND, IN
ZIP 46617
Phone: (574) 233-3123
Get Directions

Ester P J Van Der Wal, MD is a diagnostic radiology radiology in South Bend, IN with 28 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ester P J Van Der Wal, MD NPI is 1508805466. 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:

121 S SAINT LOUIS BLVD
SOUTH BEND, IN
ZIP 46617-924
Phone: (574) 233-3123

The NPI 1508805466 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 6/6/2006 and was last updated on 2/19/2021.

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	2085R0202X	Radiology	Diagnostic Radiology	01053280	INDIANA	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	Other Provider Identifier Issuer
1	000000374875	OTHER	INDIANA	ANTHEM BCBS
2	P00742719	OTHER	INDIANA	RAILROAD MEDICARE
3	200522070	MEDICAID	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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