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HAVEN N WALL JR MD INC
NPI 1710013081
Internal Medicine - Cardiovascular Disease in Lewisburg, WV

Active since February 23, 2007
RR 2 BOX 171C, LEWISBURG, WV 24901(304) 645-6083 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Haven N Wall Jr Md Inc NPPES

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

HAVEN N WALL JR MD INC (NPI 1710013081) is a healthcare organization registered as a cardiovascular disease in Lewisburg, West Virginia and active in the NPI registry since February 2007. The organization lists Haven N Wall, President, as its authorized official.

NPPES Registry Identity

NPI1710013081
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHAVEN N WALL JR MD INC
Location AddressRR 2 BOX 171CLewisburg, WV 24901-9318
Mailing AddressPo Box 1046Lewisburg, WV 24901-4046 · (304) 645-6083
Phone(304) 645-6083
Organization SubpartNo
Authorized OfficialHaven N WallPresident · (304) 645-6083
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 14, 2010
✔ NPI 1710013081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WV · 12141
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
RR 2 BOX 171C, Lewisburg, WV 24901
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Other Identifiers 3

Medicare UPINA72197
Medicaid0087282000WV
Medicare PINHA9249071WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MARY LOU FRAGILE DO
Family Medicine
RR 2 BOX 171C, GREYROCK PROF PARK
LEWISBURG, WV 24901
Greenbrier County (304) 647-3331

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 Haven N Wall Jr MD Inc's NPI number?

The NPI number for Haven N Wall Jr MD Inc is 1710013081. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Haven N Wall Jr MD Inc located?

Haven N Wall Jr MD Inc is located at Rr 2 Box 171C, Lewisburg, WV 24901. The listed phone number is (304) 645-6083.

What is Haven N Wall Jr MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Haven N Wall Jr MD Inc was last updated on May 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.