DR. M.D. Michael Jason Walls, NPI 1083888325
Interventional Pain Medicine Physician in Crestview Hills, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1083888325 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D. Michael Jason Walls |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 320 Thomas More Pkwy, Suite 202, Crestview Hills, KY, US |
| Provider Mailing Address | Po Box 21890, Belfast, ME, US, 049154115 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Interventional Pain Medicine Physician |
| Classification | |
| Group | |
| License No. | 42678 |
| License State | KY |
| Description | Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 298418KYIP | KY | AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER | 01 |
| 000001148521 | ANTHEM ID | 01 | |
| CS1811400200 | CARESOURCE ID | 01 | |
| P02011197 | KY | RAILROAD MEDICARE | 01 |
| 7100086870 | KY | MEDICAID | 05 |
| 9318357 | AETNA PIN | 01 | |
| 15725575 | KY | WELLCARE OF KENTUCKY PROVIDER ID NUMBER | 01 |
| 300012365 | IN | MEDICAID | 05 |
| 003031812 | UNITED HEALTHCARE PROVIDER ID NUMBER | 01 | |
| 0295938 | OH | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | Yes | 320 Thomas More Pkwy, Suite 202, Crestview Hills, KY, US |
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