ELIZABETH WALLEN MD – NPI #1285634071
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ELIZABETH WALLEN is a physician located in SANTA FE, NM. NPPES has assigned the NPI number 1285634071 to ELIZABETH WALLEN on July 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on May 15, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELIZABETH WALLEN below.

NPI Profile for
ELIZABETH WALLEN

NPI Number
1285634071
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELIZABETH WALLEN
Credentials
MD
Primary location
20 CALLE CAL
SANTA FE, NM 87508
Phone: (614) 266-8533 Fax:
1 Other location(s):
318 E Sycamore St
Columbus, OH 43206-2242
Phone: (614) 266-8533
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for ELIZABETH WALLEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0665945
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PA MD43857E
208000000X
- Pediatrics
OH 35-055437
207L00000X
- Anesthesiology
OH 35055437

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.