ROMITA L WALLEN MD
NPI 1356332563
Family Medicine in Mt Pleasant, SC

Active since November 04, 2005
2736 RUSH HAVEN DR, MT PLEASANT, SC 29466(843) 881-7477(843) 881-7477 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Romita L Wallen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMITA L WALLEN MD (NPI 1356332563) is an individual family medicine provider in Mt Pleasant, South Carolina, licensed in South Carolina (23719) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1356332563
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROMITA L WALLENCredential: MD
Location Address2736 RUSH HAVEN DRMt Pleasant, SC 29466-8578
Mailing Address2736 Rush Haven DrMt Pleasant, SC 29466-8578 · (843) 881-7477 · Fax (843) 881-7477
Fax(843) 881-7477
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateOctober 1, 2015
NPI 1356332563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 23719
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2736 RUSH HAVEN DR, Mt Pleasant, SC 29466

Other Identifiers 3

Medicaid237194SC
Medicare ID-Type UnspecifiedH932331403SC
Medicare UPINH93233SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Romita Wallen's NPI number?

The NPI number for Romita Wallen is 1356332563. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Romita Wallen located?

Romita Wallen practices at 2736 Rush Haven Dr, Mt Pleasant, SC 29466. The listed phone number is (843) 881-7477.

What is Romita Wallen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Romita Wallen was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.