STEPHEN JAY WALL M.D.
NPI 1467454462
Pediatrics - Adolescent Medicine in Clyde, NC

NPI Status: Active since August 10, 2005

Contact Information

15 FACILITY DR
CLYDE, NC
ZIP 28721
Phone: (828) 452-2211
Fax: (828) 452-4421

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Pediatrics
Adolescent Medicine

About STEPHEN WALL

This page provides the complete NPI Profile along with additional information for Stephen Wall, a pediatrician established in Clyde, North Carolina with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1467454462 assigned on August 2005. The practitioner's primary taxonomy code is 2080A0000X with license number 38234 (NC). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1467454462
Provider Name: STEPHEN JAY WALL M.D.
Gender: Male
Entity Type: Individual
Location Address: 15 FACILITY DR CLYDE, NC 28721
Location Phone: (828) 452-2211
Location Fax: (828) 452-4421
Mailing Address: 15 FACILITY DR CLYDE, NC 28721
Mailing Phone: (828) 452-2211
Mailing Fax: (828) 452-4421
Is Sole Proprietor?: No
Enumeration Date: 08-10-2005
Last Update Date: 07-08-2007
Code Navigator

A pediatrician like Stephen Wall is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Adolescent Medicine
Taxonomy Code: 2080A0000X
Type: Allopathic & Osteopathic Physicians
License No.: 38234
License State: NC
Taxonomy Description: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
2210955	MEDICARE ID-TYPE UNSPECIFIED (04)
1270239	OTHER (01)		UNITED HEALTHCARE
F17433	MEDICARE UPIN (02)
8985406	MEDICAID (05)	NC

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	6	7	4	5	4	4	6	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	12	7	8	5	8	4	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 8 + 5 + 8 + 4 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1467454462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 10 providers are registered at the same or nearby location.

KARIN R. MCLELLAND M.D.

Pediatrics

(Adolescent Medicine)