DR. GIACOMO COLVER WALLER MD NPI 1801391438

NPI Information

  • NPI: 1801391438
  • Provider Name: DR. GIACOMO COLVER WALLER, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19 E 98TH ST, 7TH FL
    STE A, BOX #1259
    NY, NY
    ZIP 10029
  • Phone: (212) 241-0949

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NPI Details

DR. Giacomo Colver Waller, MD is a surgery in Ny, NY with 8 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Giacomo Colver Waller, MD NPI is 1801391438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

19 E 98TH ST, 7TH FL
STE A, BOX #1259
NY, NY
ZIP 10029-574
Phone: (212) 241-0949
Fax: (212) 534-2654

The NPI 1801391438 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 3/26/2018 and was last updated on 7/23/2023.

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
1208600000XSurgery125.077143ILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training Program125.077143ILLINOISNo
3390200000XStudent in an Organized Health Care Education/Training ProgramGEORGIANo
4208600000XSurgery322610NEW YORKYes

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
1125.077143OTHERILLINOISILLINOISE DFPR
2322610OTHERNEW YORKNEW YORK STATE EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS

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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