Provider Type Icon

MR. JASON KENDALL WALLS PA NPI 1942247713


NPI Information

NPI: 1942247713
Provider Name: MR. JASON KENDALL WALLS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: EAR NOSE AND THROAT ASSOCIATES PC

PECOS Registration: Yes

Address:
310 NORTH STATE AND FRANKLIN ROAD
STE 103
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-8301
Get Directions

MR. Jason Kendall Walls, PA is a medical physician assistant in Johnson City, TN with 25 years of experience. MR. Jason Kendall Walls, PA NPI is 1942247713. 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:

310 NORTH STATE AND FRANKLIN ROAD
STE 103
JOHNSON CITY, TN
ZIP 37604-063
Phone: (423) 232-8301
Fax: (423) 232-8304

The NPI 1942247713 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)

The enumeration date for this NPI number is 6/1/2006 and was last updated on 3/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA0000000820TENNESSEENo
2207P00000XEmergency Medicine820TENNESSEENo
3363AM0700XPhysician AssistantMedicalPA0000000820TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P75315MEDICARE UPIN
23661736MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
33661736MEDICAIDTENNESSEE
4103I970004MEDICARE PINTENNESSEE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.