James D Waller in Evansville - Colon & Rectal Surgery
James D Waller - NPI 1366440299
James D Waller is a Colon & Rectal Surgery in Evansville, Indiana. James D Waller practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for James D Waller is 1366440299. The last update date is 2019-04-15.
James D Waller's current location address is 950 S Kenmore Dr Ste B, Evansville, Indiana. You can contact this provider via phone number 8123018110 and fax number 8124014001. The mailing address for James D Waller is 950 S Kenmore Dr Ste B, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James D Waller |
|---|---|
| Address | 950 S Kenmore Dr Ste B, Evansville, Indiana |
| Phone Number | 8123018110 |
| Fax Number | 8124014001 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366440299 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2019-04-15 |
Provider Mailing Address Detail
| Address | 950 S Kenmore Dr Ste B |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477147513 |
| Phone Number | 8123018110 |
| Fax Number | 8124014001 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 01029847A |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01029847A | IN | STATE LICENSE | |
| 42443 | IN | ANTHEM BC/BS | |
| 100352100 | IN | -- | |
| 64757446 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James D Waller by the Centers for Medicare & Medicaid Services?
The James D Waller has been assigned the NPI (National Provider Identifier) 1366440299 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where James D Waller is located?
The James D Waller is situated at the following address: 950 S Kenmore Dr Ste B, Evansville, IN, 477147513.
What is James D Waller's area of expertise and its corresponding taxonomy classification?
The James D Waller's field of specialization is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1366440299 assigned to James D Waller?
The James D Waller was issued its 1366440299 on 2005-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the James D Waller's information last updated?
The James D Waller's information was last updated on 2019-04-15.