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DR. JAMES D WALLER JR. MD
NPI 1366440299
Colon & Rectal Surgery in Evansville, IN

Active since July 13, 2005
950 S KENMORE DR STE B, EVANSVILLE, IN 47714(812) 301-8110(812) 401-4001 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2019, Apr 4, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. James D Waller Jr. Md NPPES

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

DR. JAMES D WALLER JR. MD (NPI 1366440299) is an individual colon & rectal surgery provider in Evansville, Indiana, licensed in Indiana (01029847A) and active in the NPI registry since July 2005. He maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1366440299
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. JAMES D WALLER JR.Credential: MD
Location Address950 S KENMORE DR STE BEvansville, IN 47714-7513
Mailing Address950 S Kenmore Dr Ste BEvansville, IN 47714-7513 · (812) 301-8110 · Fax (812) 401-4001
Phone(812) 301-8110
Fax(812) 401-4001
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateApril 15, 20194 updates tracked since enumeration
✔ NPI 1366440299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in IN · 01029847A
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 liver, urinary and female reproductive system) involved with primary intestinal disease.

950 S KENMORE DR STE B, Evansville, IN 47714
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Secondary Practice Location 1

Location 1801 Saint Marys Dr, Suite 205WEvansville, IN 47714-0511 · Phone (812) 477-6103 · Fax (812) 477-4897

Other Identifiers 4

Other000000042443IN · Anthem Bc/bs
Medicaid100352100IN
Medicaid64757446KY
Other01029847AIN · State License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SYAM S CHILUKURI MD
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Vanderburgh County (812) 301-8110
JOSEPH CHRISTOPHER ADONGAY M.D.
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Vanderburgh County (812) 301-8110
PATRICK JAMES KEARNEY NP
Nurse Practitioner
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Vanderburgh County (812) 301-8110
TRI-STATE COLORECTAL GROUP, LLC
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Vanderburgh County (812) 301-8110
SANTIAGO ARRUFFAT M.D.
Colon & Rectal Surgery
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Vanderburgh County (812) 301-8110
ASHLEIGH ROBERTSON NP
Nurse Practitioner
950 S KENMORE DR STE B
EVANSVILLE, IN 47714
Vanderburgh County (812) 301-8110

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 James Waller's NPI number?

The NPI number for James Waller is 1366440299. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is James Waller located?

James Waller practices at 950 S Kenmore Dr Ste B, Evansville, IN 47714. The listed phone number is (812) 301-8110.

What is James Waller's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for James Waller was last updated on April 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.