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LARRY HENLE WALLER M.D.
NPI 1710996996
Obstetrics & Gynecology in Little Rock, AR

Active since August 05, 2006
500 S UNIVERSITY AVE, SUITE 316, LITTLE ROCK, AR 72205(501) 603-9600(501) 603-0042 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larry Henle Waller M.d. NPPES

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

LARRY HENLE WALLER M.D. (NPI 1710996996) is an individual obstetrics & gynecology provider in Little Rock, Arkansas, licensed in Arkansas (E0253) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1710996996
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameLARRY HENLE WALLERCredential: M.D.
Location Address500 S UNIVERSITY AVE, SUITE 316Little Rock, AR 72205-5302
Mailing Address500 S University Ave, Suite 316Little Rock, AR 72205-5302 · (501) 603-9600 · Fax (501) 603-0042
Phone(501) 603-9600
Fax(501) 603-0042
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1710996996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AR · E0253
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
500 S UNIVERSITY AVE, Little Rock, AR 72205
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Other Identifiers 8

Other04828Healthsource
Medicaid137315002AR
Medicaid125849001AR
Medicare UPINF89190AR
Medicare ID-Type Unspecified5J541AR
Other16047000000Qualchoice
Other7420056United Healthcare
Other71082800072205AOTricare Wps

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.

DR ANIKA T WHITFIELD LLC
Podiatrist (Foot Surgery)
500 S UNIVERSITY AVE, SUITE 707
LITTLE ROCK, AR 72205
Pulaski County (501) 614-7800
DR. DONNA MELISSA GRAHAM M.D.
Allergy & Immunology
500 S UNIVERSITY AVE, SUITE 215
LITTLE ROCK, AR 72205
Pulaski County (501) 420-1085
PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD
Family Medicine
500 S UNIVERSITY AVE, SUITE 515
LITTLE ROCK, AR 72205
Pulaski County (501) 666-6100
FRANCES L MCCULLOUGH RNP
Registered Nurse
500 S UNIVERSITY AVE, SUITE 815
LITTLE ROCK, AR 72205
Pulaski County (501) 663-8900
KASHAF AFZAL RASHEED MD
Internal Medicine (Nephrology)
500 S UNIVERSITY AVE, SUITE 508
LITTLE ROCK, AR 72205
Pulaski County (501) 588-1100
GARRY JONES M.D.
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC
Clinic/Center (Radiology, Mammography)
500 S UNIVERSITY AVE, SUITE 114
LITTLE ROCK, AR 72205
Pulaski County (501) 661-9766
JODI M BARBOZA MD
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 664-3914

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 Larry Waller's NPI number?

The NPI number for Larry Waller is 1710996996. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Larry Waller located?

Larry Waller practices at 500 S University Ave Suite 316, Little Rock, AR 72205. The listed phone number is (501) 603-9600.

What is Larry Waller's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Larry Waller was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.