DR. THOMAS CRAVEN WALL M.D. NPI 1528018314

NPI Information

NPI: 1528018314
Provider Name: DR. THOMAS CRAVEN WALL, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
1126 N CHURCH ST
SUITE 300
GREENSBORO, NC
ZIP 27401
Phone: (336) 547-1700
Get Directions

DR. Thomas Craven Wall, M.D. is a cardiovascular disease internal medicine in Greensboro, NC with 42 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Thomas Craven Wall, M.D. NPI is 1528018314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

1126 N CHURCH ST
SUITE 300
GREENSBORO, NC
ZIP 27401-000
Phone: (336) 547-1700

The NPI 1528018314 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 5/11/2006 and was last updated on 8/26/2019.

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	207R00000X	Internal Medicine		28097	NORTH CAROLINA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	28097	NORTH 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	Other Provider Identifier Issuer
1	8985392	MEDICAID	NORTH CAROLINA
2	2298	OTHER	NORTH CAROLINA	PARTNERS MEDICARE
3	4245049	OTHER	NORTH CAROLINA	AETNA
4	33586	OTHER	NORTH CAROLINA	MEDCOST
5	85392	OTHER	NORTH CAROLINA	BCBS NC

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

NPI Synchronization or Removal

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