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JON COOPER WALL JR. MD
NPI 1407376163
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in The Woodlands, TX

Active since June 23, 2017PECOS Enrolled
17580 INTERSTATE 45 S, THE WOODLANDS, TX 77384(936) 267-5000 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Aug 7, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Jon Cooper Wall Jr. Md NPPES

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

JON COOPER WALL JR. MD (NPI 1407376163) is an individual pediatric orthopaedic surgery provider in The Woodlands, Texas, licensed in Texas (U5836) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407376163
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameJON COOPER WALL JR.Credential: MD
Location Address17580 INTERSTATE 45 SThe Woodlands, TX 77384-4972
Mailing Address17580 Interstate 45 SThe Woodlands, TX 77384-4972 · (936) 267-5000
Phone(936) 267-5000
Sole ProprietorYes
Enumeration DateJune 23, 2017
Last NPPES UpdateAugust 21, 20235 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1407376163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in TX · U5836
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License BP10059625 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17580 INTERSTATE 45 S, The Woodlands, TX 77384
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Baylor PlzHouston, TX 77030-3498 · Phone (713) 986-7396
Location 23601 4th St # MS 9436Lubbock, TX 79430-0002 · Phone (806) 743-4263

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Cooper Wall Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

AARON SCOTT MD
Surgery (Pediatric Surgery)
17580 INTERSTATE 45 S
THE WOODLANDS, TX 77384
Montgomery County (936) 267-7333
EKTA BERY SALHOTRA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
17580 INTERSTATE 45 S
THE WOODLANDS, TX 77384
Montgomery County (936) 267-6050
PATRICK JOSEPH FOX JR. MD
Urology (Pediatric Urology)
17580 INTERSTATE 45 S
THE WOODLANDS, TX 77384
Montgomery County (936) 267-5000
ZACHARY VASQUEZ ZUNIGA M.D.
Urology
17580 INTERSTATE 45 S
THE WOODLANDS, TX 77384
Montgomery County (936) 267-5000
GINA FERREIRA PT
Physical Therapist
17580 INTERSTATE 45 S
THE WOODLANDS, TX 77384
Montgomery County (936) 267-7312
SUSAN ALICE LEE M.D.
Pediatrics
17580 INTERSTATE 45 S
CONROE, TX 77384
Montgomery County (936) 267-5000
DR. STUART M GAGIE DPT
Physical Therapist (Pediatrics)
17580 INTERSTATE 45 S
THE WOODLANDS, TX 77384
Montgomery County (936) 267-7317
DR. PATSY DIANE GARCIA PT, DPT
Physical Therapist (Pediatrics)
17580 INTERSTATE 45 S
CONROE, TX 77384
Montgomery County (936) 267-7250

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 Jon Wall's NPI number?

The NPI number for Jon Wall is 1407376163. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Jon Wall located?

Jon Wall practices at 17580 Interstate 45 S, The Woodlands, TX 77384. The listed phone number is (936) 267-5000.

What is Jon Wall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Jon Wall enrolled in Medicare?

Yes. Jon Wall is registered in the Medicare PECOS enrollment system.

What insurance does Jon Wall accept?

Health plans from Moda Health Plan, Inc. list Jon Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Wall was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.