DR. ELLIS P WALLER JR. MD
NPI 1972726081
Family Medicine in Madison, WI

Q: What is Ellis Waller's NPI number?

The NPI number for Ellis Waller is 1972726081. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Ellis Waller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellis Waller was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 10, 2007

345 WEST WASHINGTON AVE., SUITE 100, MADISON, WI 53703(608) 417-8300(608) 417-8301 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ellis P Waller Jr. Md NPPES

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

DR. ELLIS P WALLER JR. MD (NPI 1972726081) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (52729) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1972726081

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ELLIS P WALLER JR.Credential: MD

Location Address345 WEST WASHINGTON AVE., SUITE 100Madison, WI 53703-2701

Mailing Address202 S Park StMadison, WI 53715-1507

Phone(608) 417-8300

Fax(608) 417-8301

Sole ProprietorNo

Enumeration DateApril 10, 2007

Last NPPES UpdateApril 27, 2012

✔ NPI 1972726081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 52729

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

345 WEST WASHINGTON AVE., Madison, WI 53703

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Other Providers at the Same Location NPPES

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

ELLEN MILLER MS, RDN, CD

Dietitian, Registered

345 WEST WASHINGTON AVE., SUITE 100
MADISON, WI 53703

Dane County (608) 417-8300

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 Ellis Waller's NPI number?

The NPI number for Ellis Waller is 1972726081. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Ellis Waller located?

Ellis Waller practices at 345 West Washington Ave. Suite 100, Madison, WI 53703. The listed phone number is (608) 417-8300.

What is Ellis Waller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ellis Waller was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.