DR. JOHN DOUGLAS WALL M. D. NPI 1669474656

NPI Information

  • NPI: 1669474656
  • Provider Name: DR. JOHN DOUGLAS WALL, M. D.
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • Address: 9304 FOREST POINT CIR
    MANASSAS, VA
    ZIP 20110
  • Phone: (703) 368-1969

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NPI Details

DR. John Douglas Wall, M. D. is an obstetrics obstetrics gynecology in Manassas, VA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. John Douglas Wall, M. D. NPI is 1669474656. 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:

9304 FOREST POINT CIR
MANASSAS, VA
ZIP 20110-700
Phone: (703) 368-1969
Fax: (703) 369-4164

The enumeration date for this NPI number is 8/10/2005 and was last updated on 10/13/2011.

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
1207VX0000XObstetrics & GynecologyObstetrics0101044866VIRGINIAYes

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
1E43248MEDICARE UPIN
2160000598MEDICARE ID-TYPE UNSPECIFIED
36240259MEDICAIDVIRGINIA

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: 3/30/2025

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