DR. THOMAS CRAVEN WALL M.D. NPI 1528018314

NPI Information

  • NPI: 1528018314
  • Provider Name: DR. THOMAS CRAVEN WALL, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1126 N CHURCH ST
    SUITE 300
    GREENSBORO, NC
    ZIP 27401
  • Phone: (336) 547-1700

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NPI Details

DR. Thomas Craven Wall, M.D. is a cardiovascular disease internal medicine in Greensboro, NC with 43 years of experience. The provider is 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. DR. Thomas Craven Wall, M.D. NPI is 1528018314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

1126 N CHURCH ST
SUITE 300
GREENSBORO, NC
ZIP 27401-000
Phone: (336) 547-1700

The NPI 1528018314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine28097NORTH CAROLINANo
2207RC0000XInternal MedicineCardiovascular Disease28097NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18985392MEDICAIDNORTH CAROLINA
22298OTHERNORTH CAROLINAPARTNERS MEDICARE
34245049OTHERNORTH CAROLINAAETNA
433586OTHERNORTH CAROLINAMEDCOST
585392OTHERNORTH CAROLINABCBS NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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