Individual provider
DR. ANDREW WALLER, MD
CMS NPPES lists DR. ANDREW WALLER as an individual provider record with NPI 1053334219. The current record reports a primary practice location in ABINGDON, VA and primary taxonomy code 208D00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location300 VALLEY ST NEABINGDON, VA 242102912
- Additional practice location3114 Browns Mill RdJohnson City, TN 376041417
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207R00000XAdditional reported taxonomy208D00000XPrimary reported taxonomy207RA0401XAdditional reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- July 26, 2006
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.